Individual
DR. MATTHEW M GRAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2850 CURVE CREST BLVD W STE 115, STILLWATER, MN 55082-4073
(651) 439-8764
(651) 439-9660
Mailing address
2850 CURVE CREST W BLVD 115, STILLWATER, MN 55082-4073
(651) 439-8764
(651) 439-9660
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
11312
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237L1LA
1
MN
05
—
6806273
—
MN
Enumeration date
05/04/2006
Last updated
02/03/2016
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