Individual
STEVEN R MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 24TH AVE SW, MINOT, ND 58701-6905
(701) 857-5343
(701) 858-6788
Mailing address
PO BOX 5010, MINOT, ND 58702-5010
(701) 418-8000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5199
ND
208000000X
Pediatrics Physician
5199
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15227
—
ND
Enumeration date
10/10/2006
Last updated
12/26/2023
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