Individual
MATTHEW AHLSKOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1575 20TH ST NW STE 103, FARIBAULT, MN 55021-2932
(651) 249-1308
Mailing address
2652 89TH CT W, NORTHFIELD, MN 55057-4767
(507) 358-3395
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
03/20/2024
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