Individual
MATTHEW WAYNE HOUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
320 E MAIN ST, CROSBY, MN 56441-1645
(218) 546-7000
Mailing address
6800 11TH AVE SW, PEQUOT LAKES, MN 56472-2077
(701) 330-7642
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2746
MN
Other
Enumeration date
10/20/2022
Last updated
10/20/2022
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