Individual
MATTHEW PHILIP MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 417-6000
Mailing address
425 37TH AVE S, MOORHEAD, MN 56560-5511
(605) 999-8241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2721
MN
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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