Individual
GARY A MATTHYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2829 UNIVERSITY DR S, STE 202, FARGO, ND 58103-6050
(701) 241-9300
(701) 235-4525
Mailing address
2829 UNIVERSITY DR S, STE 202, FARGO, ND 58103-6050
(701) 241-9300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8590
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0902924
MEDICA
—
05
—
11431
—
ND
01
—
29004
BCBS ND
ND
05
—
757678100
—
MN
01
—
7I432MA
BCBS MN
MN
01
—
C83401026111
PREFERRED ONE
—
01
—
HP32046
HEALTH PARTNERS
—
01
—
P00471013
RR MEDICARE
—
Enumeration date
07/17/2006
Last updated
03/13/2019
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