Individual
DR. MATTHEW STEPHEN VISCITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-1620
(701) 352-9381
Mailing address
164 W 13TH ST, GRAFTON, ND 58237-1826
(701) 352-1620
(701) 352-9381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10982
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18369
—
ND
Enumeration date
05/09/2007
Last updated
07/21/2022
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