Individual
MR. MATTHEW STUART KAUFENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1835 COUNTY ROAD C W, ROSEVILLE, MN 55113-1352
(651) 638-0080
Mailing address
7700 HIGHWAY 65 NE, SPRING LAKE PARK, MN 55432-2832
(763) 784-3155
(763) 784-2352
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60845900
—
MN
Enumeration date
09/28/2006
Last updated
07/30/2010
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