| NPI | 1043378268 |
|---|---|
| Former Legal Business Name | SUSAN M MATHISON MD LTD |
| Entity Type | Organization |
| Authorized Contact | SUSAN M MATHISON Owner 701-365-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2009-05-01 |