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Matthew Puderbaugh, DO
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician in Minneapolis, Minnesota
NPI 1982959771

Matthew Puderbaugh is a Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician based in Minneapolis, MN and is specialized in Brain Injury Medicine. Matthew Puderbaugh practices in Minneapolis, MN and has the professional credentials of DO. The NPI Number for Matthew Puderbaugh is 1982959771 and holds a License No. 5101019889 (Minnesota).

The current practice location address for Matthew Puderbaugh is 715 S 8Th St, Minneapolis, MN and can be reached out via phone at 612-873-3000.

Location: 715 S 8Th St, Minneapolis, MN, 55455
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982959771
Provider Name
Matthew Puderbaugh
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
715 S 8Th St, Minneapolis, MN, 55455
Phone Number
612-873-3000
Fax Number
Provider Enumeration Date
07/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
715 S 8Th St
City
Minneapolis
State
Minnesota
Zip
55404-1210
Phone Number
612-873-3000
Fax Number
person
Provider Business Mailing Address Details
Address
715 S 8Th St
City
Minneapolis
State
Minnesota
Zip
55404-1210
Phone Number
612-873-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Brain Injury Medicine
Taxonomy
2081P0301X
License No.
70248 (Minnesota)
Definition
A Brain Injury Medicine physician specializes in disorders of brain function due to injury and disease. These disorders encompass a range of medical, physical, neurologic, cognitive, sensory, and behavioral disorders that result in psychosocial, educational, and vocational consequences.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
5101019889 (Michigan)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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