Individual
JAMES A MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Mailing address
712 SOUTH CASCADE STREET, FERGUS FALLS, MN 56537-2813
(218) 736-8000
(218) 736-8757
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
21340
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106836
UCAREMN
MN
05
—
1476582
—
TX
01
—
16-00187
MEDICA
MN
01
—
17870MA
BCBS
MN
05
—
204990006
—
MO
05
—
410917444-56537-01
—
IL
05
—
41091744413
—
NE
05
—
457
—
WI
05
—
510865900
—
MN
05
—
7615484
—
NC
05
—
7705540
—
SD
05
—
806646600
—
ID
01
—
HP61029
HEALTHPARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/14/2010
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