Individual
DR. MATTHEW JOSEPH TINGUELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
ROGER MARIS CANCER CTR, 820 4TH STREET NORTH, FARGO, ND 58122-0001
(701) 234-6161
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-9419
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49246-20
WI
207RH0003X
Hematology & Oncology Physician
Primary
11676
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15410
—
ND
05
—
1548348410
—
MN
05
—
17950
—
ND
Enumeration date
11/01/2006
Last updated
06/20/2024
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