Provider Demographics
NPI:1316387897
Name:BURNS, MATTHEW J (PA-C)
Entity Type:Individual
Prefix:MR
First Name:MATTHEW
Middle Name:J
Last Name:BURNS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Mailing Address - Street 1:1700 HIGHWAY 25 N
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313-1930
Mailing Address - Country:US
Mailing Address - Phone:763-682-1313
Mailing Address - Fax:763-581-9090
Practice Address - Street 1:1700 HIGHWAY 25 N
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:MN
Practice Address - Zip Code:55313-1930
Practice Address - Country:US
Practice Address - Phone:763-682-1313
Practice Address - Fax:763-684-3797
Is Sole Proprietor?:No
Enumeration Date:2013-06-28
Last Update Date:2022-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN1919363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant