Individual
MARY ELIZABETH MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
13001 E 17TH PL, AURORA, CO 80045-2570
(303) 724-6031
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD452867
PA
Other
Enumeration date
03/20/2012
Last updated
04/20/2022
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