IVAN RAFAEL MATOS DIAZ

MINNEAPOLIS, MN
NPI1972859767
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: MN  61825)
Additional Taxonomies2084V0102X Psychiatry & Neurology, Vascular Neurology
(Licence: MN  61825)
2084V0102X Psychiatry & Neurology, Vascular Neurology
(Licence: FL  ME156611)
Enumeration Date2012-07-30
Last Update Date2024-08-21
Business Address
IVAN RAFAEL MATOS DIAZ M.D.
800 E 28TH ST
MINNEAPOLIS, MN 55407-3723
Phone number: 612-863-3200
Mailing Address
IVAN RAFAEL MATOS DIAZ M.D.
2925 CHICAGO AVE
MINNEAPOLIS, MN 55407-1321
Phone number: 612-262-9000