Individual
LOUISE ANN MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1414 MARYLAND AVE E, SAINT PAUL, MN 55106-2824
(651) 772-3461
Mailing address
720 WASHINGTON AVE SE, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55414
(612) 884-0649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24743
MN
Other
Enumeration date
12/19/2006
Last updated
11/01/2012
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