Individual
MR. MATTHEW LEE DOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
810 MARYLAND AVE E, SAINT PAUL, MN 55106-2511
(651) 774-1005
(651) 776-5117
Mailing address
810 MARYLAND AVE E, SAINT PAUL, MN 55106-2511
(651) 774-1005
(651) 776-5117
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121854
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121854
STATE LICENSE
MN
Enumeration date
03/04/2020
Last updated
03/04/2020
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