Individual
JOEL MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1431 BEAM AVE, MAPLEWOOD, MN 55109-1064
(612) 486-1747
(612) 486-1744
Mailing address
4645 JUNEAU LN N, PLYMOUTH, MN 55446-3402
(612) 770-0035
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
117048
MN
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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