Individual
MATTHEW DAVID QUANRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
250 CENTRAL AVE N, WAYZATA, MN 55391-1206
(952) 993-8238
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9748
MN
Other
Enumeration date
08/18/2014
Last updated
03/11/2021
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