Individual
DR. DANIEL J MATTINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5033 VERNON AVE S, EDINA, MN 55436-2102
(952) 929-0034
Mailing address
5033 VERNON AVE S, EDINA, MN 55436-2102
(952) 929-0034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
125837
MN
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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