Organization
JORDAN MEDICAL P.A.
Active
Organization
JORDAN MEDICAL P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHIAS JOSEPH JORDAN M.D. (PRESIDENT)
(763) 295-8826
Entity
Organization
Contact information
Practice address
7266 COUNTY ROAD 37 NE, ST. MICHAEL, MN 55376-3007
(763) 295-4789
Mailing address
114 W 3RD ST, SUITE 100, MONTICELLO, MN 55362-4705
(763) 295-8826
(763) 295-1900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25273
MN
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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