Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 24703 | MN |
NPI | 1336103951 |
---|---|
Provider Name | Matthew R Monsein |
First Address | Minneapolis, MN 55440-0043 |
Second Address | Minneapolis, MN 55407-1139 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 10/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
141593000 | (05) | MN |
D81527 | (02) |