Individual
MATTHEW DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
340 W WASHINGTON ST, BRAINERD, MN 56401-2924
(218) 825-0027
Mailing address
8913 ROSEHAVEN BLVD, LITTLE FALLS, MN 56345-6172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
119310
MN
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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