Individual
DR. KRISTINE G MATSON
Active
Individual
DR. KRISTINE G MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
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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