Individual
THOMAS C MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Mailing address
7595 ANAGRAM DR, EDEN PRAIRIE, MN 55344-7399
(612) 573-2200
(612) 573-2274
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
37822
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077723400
—
MN
01
—
1016283
PREFERRED ONE
MN
01
—
125236
UCARE
MN
05
—
1546184
—
IA
01
—
1602173
MEDICA
MN
01
—
299G3MA
BLUE CROSS
MN
01
—
300134720
RAILROAD MEDICARE MN
MN
05
—
34395400
—
WI
01
—
65G45MA
BLUE CROSS
MN
01
—
850072
AMERICA'S PPO
MN
01
—
HP34233
HEALTHPARTNERS
MN
Enumeration date
06/03/2006
Last updated
07/13/2022
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