Individual
DR. JEREMIAH ROBERT MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Mailing address
5435 FELTL RD, MINNETONKA, MN 55343-7983
(952) 835-9880
(952) 857-1554
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
104718
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/11/2007
Last updated
06/15/2012
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