Individual
DR. MATTHEW R CASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113-3905
(952) 837-9700
Mailing address
2355 HIGHWAY 36 W, STE 100, ROSEVILLE, MN 55113-3905
(952) 837-9700
(952) 837-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
57531
MN
2085R0202X
Diagnostic Radiology Physician
5826
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7202190
—
SD
05
—
7202192
—
SD
Enumeration date
05/31/2006
Last updated
07/07/2021
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