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Contact Information

MATTHEW PUDERBAUGH, DO
715 S 8TH ST
MINNEAPOLIS, MN55404-1210
 Phone: 612-873-3000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Brain Injury Medicine

2081P0301X 25 Physician/Physical Medicine and Rehabilitation
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MATTHEW PUDERBAUGH · (Male)

NPI # 1982959771
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/17/2012
Last updated 06/10/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 5101019889
  • MN License # 70248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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