TRAVIS J MATTERN

FARGO, ND
NPI1376561977
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ND  R27857)
Enumeration Date2006-07-18
Last Update Date2008-09-16
Business Address
TRAVIS J MATTERN CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6259
Mailing Address
TRAVIS J MATTERN CRNA
737 BROADWAY
FARGO, ND 58122-0001
Phone number: 701-234-6259
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