Individual
MATTHEW WHITEHOUSE BRONSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
8540 QUADAY AVE NE, OTSEGO, MN 55330-6522
(763) 441-0298
(763) 441-0591
Mailing address
4200 DAHLBERG DR STE 300, GOLDEN VALLEY, MN 55422-4841
(952) 512-5600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
14584
MN
Other
Enumeration date
02/27/2022
Last updated
08/08/2023
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