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Individual

DR. MARK ALAN MATSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 WESTGATE DRIVE, SUITE 149, ST. PAUL, MN 55114-5000
(651) 641-2924
(651) 641-2901
Mailing address
1000 WESTGATE DRIVE, SUITE 149, ST. PAUL, MN 55114-5000
(651) 641-2924
(651) 641-2901

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32891
MN

Other

Enumeration date
10/02/2006
Last updated
03/22/2013
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