Individual
MATTHEW CRAIG PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Mailing address
301 HIGHWAY 65 S, MORA, MN 55051-1899
(320) 679-1313
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
38882
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040017360
MEDICARE RAILROAD
MN
05
—
288911100
—
MN
Enumeration date
01/05/2006
Last updated
05/06/2022
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