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Matthew Thao
NPI 1700264751 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1470 Gervais Ave
Maplewood, MN 55109 - Phone
- (651) 230-9093
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-11
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