Individual
TAMI JOY MATUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
1502 LONDON RD STE 102, DULUTH, MN 55812-1787
(218) 576-0100
(218) 576-0126
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2983
MN
363LF0000X
Family Nurse Practitioner
R131351-8
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
871465700
—
MN
Enumeration date
07/13/2006
Last updated
12/10/2019
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