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Individual

MATTHEW GLEN ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
640 JACKSON ST, SAINT PAUL, MN 55101
(651) 495-6600
(952) 883-9677
Mailing address
8170 33RD AVE, MS 21110Q, BLOOMINGTON, MN 55425-4516
(651) 495-6600
(952) 883-9677

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
63737
MN
208600000X
Surgery Physician
Primary
63737
MN
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/07/2015
Last updated
02/20/2020
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