Provider Demographics
NPI:1619017787
Name:HUNT, MATTHEW ALLAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALLAN
Last Name:HUNT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:420 DELAWARE ST SE
Mailing Address - Street 2:MAYO BUILDING D429 MMC 96
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0341
Mailing Address - Country:US
Mailing Address - Phone:612-624-6666
Mailing Address - Fax:612-624-0644
Practice Address - Street 1:420 DELAWARE ST SE
Practice Address - Street 2:MAYO BUILDING D429 MMC 96
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0341
Practice Address - Country:US
Practice Address - Phone:612-624-6666
Practice Address - Fax:612-624-0644
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORLL16220390200000X
MN50661207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program