| NPI | 1710373337 |
|---|---|
| Former Name | MATTHEW ERIK DEYO-SVENDSEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MN 65454) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69928) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2020-09-29 |