Mattern, Dawn D

Mattern, Dawn D is an individual health care provider with primary practice located at 2305 37Th Ave Sw , Minot ND 58701-7669. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Mattern, Dawn D can be contacted via phone (701) 857-5000.

Contact Information

Primary practice address
2305 37Th Ave Sw Minot ND 58701-7669
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7953 North Dakota
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 7953 North Dakota

Profile Details

NPI number 1962590661
LBN Legal business name Mattern, Dawn D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 26th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1962590661 NPPES
North Dakota MEDICAID 10675

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