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Individual

DR. MATTHEW BANFIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6500 EXCELSIOR BLVD, HVC 5TH FLOOR, SAINT LOUIS PARK, MN 55426-4702
(952) 993-3282
Mailing address
8170 33RD AVE S, PO BOX 1309 MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(952) 993-3282

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
48166-20
WI
207V00000X
Obstetrics & Gynecology Physician
Primary
55550
MN

Other

Enumeration date
11/01/2006
Last updated
02/29/2016
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