Matthew K Kissner in Maple Grove - Surgery
Matthew K Kissner - NPI 1720053226
Matthew K Kissner is a Surgery in Maple Grove, Minnesota. Matthew K Kissner practices all healthcare services and medical treatments related to Surgery. The NPI Number for Matthew K Kissner is 1720053226. The last update date is 2019-11-18.
Matthew K Kissner's current location address is 9825 Hospital Dr, Maple Grove, Minnesota. You can contact this provider via phone number 7637806699 and fax number 7634200500. The mailing address for Matthew K Kissner is 9825 Hospital Dr, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew K Kissner |
|---|---|
| Address | 9825 Hospital Dr, Maple Grove, Minnesota |
| Phone Number | 7637806699 |
| Fax Number | 7634200500 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720053226 |
|---|---|
| Provider Enumeration Date | 2006-02-20 |
| Last Updated Date | 2019-11-18 |
Provider Mailing Address Detail
| Address | 9825 Hospital Dr |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694479 |
| Phone Number | 7637806699 |
| Fax Number | 7634200500 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 47522 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40913800 | MN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Matthew K Kissner by the Centers for Medicare & Medicaid Services?
The Matthew K Kissner has been issued the NPI (National Provider Identifier) 1720053226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Matthew K Kissner?
The Matthew K Kissner is physically situated at 9825 Hospital Dr, in the city of Maple Grove, state of MN, with the postal code 553694479.
What is the Matthew K Kissner's specialty and taxonomy code?
The Matthew K Kissner's specialty is Surgery, and the corresponding taxonomy code is 208600000X.
On what date did the Matthew K Kissner receive its 1720053226 assignment from the Centers for Medicare & Medicaid Services?
The Matthew K Kissner was assigned its 1720053226 by the Centers for Medicare & Medicaid Services on 2006-02-20.
As of what date was the information regarding Matthew K Kissner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Matthew K Kissner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-11-18.
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