Individual
DR. MATTHEW JASON GRACZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
910 E 26TH ST, SUITE 200, MINNEAPOLIS, MN 55404-4526
(612) 884-6300
(612) 884-6363
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-2001
(651) 602-5309
(651) 222-6786
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
46354
MN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
46354
MN
Other
Enumeration date
07/22/2007
Last updated
11/29/2017
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