Provider / Organization | NPI | Date Certified |
---|---|---|
MATTHEW SLOAN | 1225521370 | 2024-08-11 |
Matthew Sloan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1225521370. Registration indicates Matthew Sloan is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Matthew Sloan MD |
Practice Office Address | 420 DELAWARE ST SE MINNEAPOLIS, MN US |
Practice Office Telephone | 6126258364 |
Mailing Address | 420 DELAWARE ST SE MINNEAPOLIS, MN 554550341 US |
Business Telephone | 6126258364 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | 76854
MN |