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Individual

DONALD J MATTHEES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
31613
MN
207RP1001X
Pulmonary Disease Physician
Primary
4549
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
13771
ND
01
142037
UCARE #
ND
01
325
NDBS #
ND
01
4800131
MEDICA #
ND
01
4800136
MEDICA #
MN
01
4800204
MEDICA #
ND
01
905894
AMERICA'S PPO/ARAZ #
ND
01
DA9011015563
PREFERRED ONE #
ND
01
HP25806
HEALTHPARTNERS #
ND
01
ND200048
LHS #
ND
Enumeration date
07/05/2006
Last updated
08/22/2011
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