Organization
PEDIATRIC AND YOUNG ADULT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE GAYLE MATSON MD (OWNER)
(507) 645-9543
Entity
Organization
Contact information
Practice address
706 SOUTH DIVISION ST, NORTHFIELD, MN 55057-2427
(507) 645-9534
(507) 645-8307
Mailing address
706 SOUTH DIVISION ST, NORTHFIELD, MN 55057-2427
(507) 645-9534
(507) 645-8307
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30822
MN
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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