Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATTHEW PUDERBAUGH, D.O.
Active Sole ProprietorMATTHEW PUDERBAUGH, D.O. is a Brain Injury Medicine healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1982959771 is currently active in the NPPES registry. Verify at CMS.
Brain Injury Medicine · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1982959771
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2012 (14.108100136276 yrs)
- Last Updated
- Jun 10, 2022
- Licenses
-
5101019889 (MI)70248 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
715 S 8TH STMINNEAPOLIS, MN, 554041210Browse MN providers · Browse ZIP 55404
- Phone
- 6128733000
- Primary Specialty
-
Brain Injury Medicine
2081P0301X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Brain Injury Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.