Individual
DR. KRISTINE G MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1615 MAPLE LN STE 1, ASHLAND, WI 54806-3610
(715) 685-7500
(715) 685-7048
Mailing address
400 E THIRD STREET, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30822
MN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
63296-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
381588900
—
MN
Enumeration date
11/16/2006
Last updated
05/07/2019
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