Ted Matzen, M.D

NPI 1356400444 · on the registry since 2006 · sole proprietor

Practice

Address: 11600 State Ave
Brainerd, MN 56401
Phone: (218) 330-7455
Fax: (218) 828-2663
Organisation at this address: Mille Lacs Band Of Ojibwe Indians
Central Lakes Community Dental Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Licence states on file: MN
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota