Individual
DR. THOMAS J MATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Mailing address
4656 40TH AVE S, FARGO, ND 58104-4397
(701) 234-8860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
10119
ND
207N00000X
Dermatology Physician
45261
MN
Other
Enumeration date
05/17/2006
Last updated
02/08/2022
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