Individual
DR. JAMES H MATTHIAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
206 1ST ST SE, WADENA, MN 56482-1561
(218) 631-1487
(218) 631-2972
Mailing address
206 1ST ST SE, P O BOX 528, WADENA, MN 56482-1561
(218) 631-1487
(218) 631-2972
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9265
MN
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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