Mark Stanley Matthias in St. Cloud - Family Medicine

Mark Stanley Matthias - NPI 1932273349

Mark Stanley Matthias is a Family Medicine in St. Cloud, Minnesota. Mark Stanley Matthias practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mark Stanley Matthias is 1932273349. The last update date is 2015-04-07.

Mark Stanley Matthias's current location address is 1900 Centracare Circle, St. Cloud, Minnesota. You can contact this provider via phone number 3202295171 and fax number 3202295171. The mailing address for Mark Stanley Matthias is 1900 Centracare Circle, St. Cloud, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Stanley Matthias
Address 1900 Centracare Circle, St. Cloud, Minnesota
Phone Number 3202295171
Fax Number 3202295171
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1932273349
Provider Enumeration Date 2006-11-17
Last Updated Date 2015-04-07

Provider Mailing Address Detail

Address 1900 Centracare Circle
City St. Cloud
State Minnesota (MN)
Post Code 563035000
Phone Number 3202295171
Fax Number 3202295171

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 33585
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00631764 MN RR MEDICARE
413202500 MN --

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FAQs about Mark Stanley Matthias

What is the unique provider identifier assigned to Mark Stanley Matthias?

The Mark Stanley Matthias has been issued the NPI (National Provider Identifier) 1932273349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mark Stanley Matthias?

The Mark Stanley Matthias is physically situated at 1900 Centracare Circle, in the city of St. Cloud, state of MN, with the postal code 563035000.

What is Mark Stanley Matthias's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mark Stanley Matthias is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did the Mark Stanley Matthias receive its 1932273349 assignment from the Centers for Medicare & Medicaid Services?

The Mark Stanley Matthias was assigned its 1932273349 by the Centers for Medicare & Medicaid Services on 2006-11-17.

As of what date were the details pertaining to Mark Stanley Matthias last refreshed?

The information related to the Mark Stanley Matthias, including its address, specialty, and other relevant details, was last updated on 2015-04-07.

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