Individual
MATTHEW ROBERT BEATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1925 WOODWINDS DR, WOODBURY, MN 55125-2270
(651) 232-0228
Mailing address
800 E 28TH ST # MR 11112, MINNEAPOLIS, MN 55407-3723
(612) 863-6590
(612) 863-5247
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10418
MN
363A00000X
Physician Assistant
—
MN
Other
Enumeration date
05/06/2008
Last updated
03/17/2018
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