Individual
MATTHEW MANSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 672-6000
Mailing address
400 STINSON BLVD FL 2, MINNEAPOLIS, MN 55413-2614
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
65551
MN
Other
Enumeration date
04/20/2015
Last updated
09/03/2019
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