Whalio Doctors

NPI 1265460182

Albert David Matthew

Practitioner Urology Physician Sartell, MN

Practice location

Address
2351 Connecticut Avenue South Suite 200, Sartell, MN 56377
Phone
(320) 259-1411
Mailing address
28 Edgewater Ln, Sartell, MN 56377-2011

Registered specialties

Urology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 21622 (MN)

Registry record

NPI
1265460182
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Jun 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.