Individual
AMANDA MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 625-4652
Mailing address
420 DELAWARE ST SE, MMC D-410, MINNEAPOLIS, MN 55455-0341
(612) 625-4652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13441
MN
Other
Enumeration date
08/23/2019
Last updated
04/17/2023
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