Organization
CLIFFORD MATUSHIN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD MICHAEL MATUSHIN DO (PHYSICIAN)
(605) 229-2544
Entity
Organization
Contact information
Practice address
201 S LLOYD ST STE 140, ABERDEEN, SD 57401-4519
(605) 229-2544
(605) 229-2115
Mailing address
201 S LLOYD ST STE 140, ABERDEEN, SD 57401-4519
(605) 229-2544
(605) 229-2115
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3575
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4997166
BLUE CROSS
SD
05
—
6002770
—
SD
Enumeration date
05/23/2007
Last updated
10/03/2007
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