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Individual

GEORGE W. MATHISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-2221
(218) 739-5501
Mailing address
615 S MILL ST, FERGUS FALLS, MN 56537-2756
(218) 739-2221
(218) 739-5501

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
23271
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09-01298
MEDICA
MN
01
1008794
PREFERREDONE
MN
05
12224
MN
01
123450
UCAREMN
MN
05
1476574
TX
05
41091744413
NE
01
61330MA
BCBS
MN
01
HP26720
HEALTHPARTNERS
MN
Enumeration date
09/21/2006
Last updated
07/09/2007
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