Puderbaugh, Matthew

Puderbaugh, Matthew is an sole proprietor health care provider with primary practice located at 715 S 8Th St , Minneapolis MN 55404-1210. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Brain Injury Medicine. Allopathic & Osteopathic Physicians / Brain Injury Medicine is his primary health care specialty. Puderbaugh, Matthew can be contacted via phone (612) 873-3000.

Contact Information

Primary practice address
715 S 8Th St Minneapolis MN 55404-1210
Phone: (612) 873-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 5101019889 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Brain Injury Medicine 2081P0301X 70248 Minnesota

Profile Details

NPI number 1982959771
LBN Legal business name Puderbaugh, Matthew
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 17th, 2012
Last updated Jun 10th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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