Individual
STEVEN THOMAS MATTHIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
50820 SUMMIT HILL CT, SHADOWFAX ANESTHESIA, GRANGER, IN 46530-9720
(312) 415-1137
Mailing address
50820 SUMMIT HILL CT, SHADOWFAX ANESTHESIA, GRANGER, IN 46530-9720
(312) 415-1137
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28212067A
IN
Other
Enumeration date
11/04/2013
Last updated
11/28/2015
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