Individual
MATTHEW ROBERT AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
66131
MN
2085R0202X
Diagnostic Radiology Physician
LL52789
SC
2085R0204X
Vascular & Interventional Radiology Physician
66131
MN
208600000X
Surgery Physician
LL52789
SC
Other
Enumeration date
06/19/2018
Last updated
06/24/2024
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