Individual
MATTHEW SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6600 FRANCE AVE S, #260, EDINA, MN 55435-1805
(952) 922-0330
Mailing address
3594 WOODLAND CT, EAGAN, MN 55123-2454
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10493
MN
Other
Enumeration date
08/29/2016
Last updated
08/29/2016
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