Clifford Matushin Pc | |
201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 | |
(605) 229-2544 | |
(605) 229-2115 |
Full Name | Clifford Matushin Pc |
---|---|
Speciality | Internal Medicine |
Location | 201 S Lloyd St Ste 140, Aberdeen, South Dakota |
Authorized Official Name and Position | Clifford Michael Matushin (PHYSICIAN) |
Authorized Official Contact | 6052292544 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clifford Matushin Pc 201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 Ph: (605) 229-2544 | Clifford Matushin Pc 201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 Ph: (605) 229-2544 |
NPI Number | 1861602500 |
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Provider Enumeration Date | 05/23/2007 |
Last Update Date | 10/03/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861602500 | NPI | - | NPPES |
6002770 | Medicaid | SD | |
4997166 | Other | SD | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 3575 (South Dakota) | Primary |
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