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Individual

DR. MATTHEW ARNOLD GAHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
420 GRANT AVENUE, EVELETH, MN 55734-1311
(218) 744-4528
(218) 744-1899
Mailing address
420 GRANT AVENUE, EVELETH, MN 55734-1311
(218) 744-4528
(218) 744-1899

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2080
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3K204GA
BLUE CROSS BLUE SHIELD
MN
01
3K205GA
BLUE CROSS BLUE SHIELD
MN
05
671725000
MN
Enumeration date
11/11/2005
Last updated
08/06/2015
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