Individual
MATTHEW R WOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2620 EAGAN WOODS DR STE 100, EAGAN, MN 55121-1138
(651) 968-5230
Mailing address
710 COMMERCE DR STE 200, WOODBURY, MN 55125-4925
(651) 968-5042
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
10631
MN
Other
Enumeration date
08/04/2009
Last updated
08/30/2019
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