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1255698783
ELYCIA R MATUSHIN
MINNEAPOLIS, MN
NPI
1255698783
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 56637)
Enumeration Date
2012-04-22
Last Update Date
2022-07-21
Business Address
Dr. ELYCIA R MATUSHIN M.D.
1020 W BROADWAY AVE
MINNEAPOLIS, MN 55411-2504
Phone number: 612-302-8200
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Mailing Address
Dr. ELYCIA R MATUSHIN M.D.
800 FREEPORT AVE NW
ELK RIVER, MN 55330-2723
Phone number: 763-581-5200
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