| Clifford Matushin Pc | |
|
201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 | |
| (605) 229-2544 | |
| (605) 229-2115 |
| Full Name | Clifford Matushin Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 S Lloyd St Ste 140, Aberdeen, South Dakota |
| Authorized Official Name and Position | Clifford Michael Matushin (PHYSICIAN) |
| Authorized Official Contact | 6052292544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clifford Matushin Pc 201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 Ph: (605) 229-2544 | Clifford Matushin Pc 201 S Lloyd St Ste 140 Aberdeen SD 57401-4519 Ph: (605) 229-2544 |
| NPI Number | 1861602500 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/03/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861602500 | NPI | - | NPPES |
| 6002770 | Medicaid | SD | |
| 4997166 | Other | SD | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 3575 (South Dakota) | Primary |
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