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Individual

DR. MATTHEW MICHAEL PALMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
5700 BOTTINEAU BLVD, SUITE 210, CRYSTAL, MN 55429
(763) 587-7000
(763) 587-7015
Mailing address
5700 BOTTINEAU BLVD, SUITE 210, CRYSTAL, MN 55429
(810) 232-3522
(810) 762-4526

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
5101017155
MI
207V00000X
Obstetrics & Gynecology Physician
Primary
56675
MN

Other

Enumeration date
06/15/2007
Last updated
08/26/2013
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