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Individual

DR. MATTHEW HERNANDEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
800 BRADBURY DR SE STE 116, ALBUQUERQUE, NM 87106-4310

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
59422
MN
208600000X
Surgery Physician
MD2023-1311
NM
2086X0206X
Surgical Oncology Physician
Primary
MD2023-1311
NM
208D00000X
General Practice Physician
59422
MN
390200000X
Student in an Organized Health Care Education/Training Program
26225
MN

Other

Enumeration date
07/16/2014
Last updated
03/18/2025
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