Organization
MANKATO TMS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL LAWRENCE MATSON DNP (OWNER, CEO)
(507) 740-0467
Entity
Organization
Contact information
Practice address
1400 MADISON AVE STE 602, MANKATO, MN 56001-5488
(507) 740-0467
(360) 282-1236
Mailing address
120 OAK MARSH DR, MANKATO, MN 56001-8762
(507) 613-3883
(360) 282-1236
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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