Provider Demographics
NPI:1841243029
Name:MATEVA, VESSELINA S (MD)
Entity Type:Individual
Prefix:DR
First Name:VESSELINA
Middle Name:S
Last Name:MATEVA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8170 33RD AVE S
Mailing Address - Street 2:MS21110Q
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55425-4516
Mailing Address - Country:US
Mailing Address - Phone:952-883-5375
Mailing Address - Fax:715-531-6801
Practice Address - Street 1:405 STAGELINE RD
Practice Address - Street 2:HUDSON GHPI PRIVILEGING
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-7849
Practice Address - Country:US
Practice Address - Phone:715-531-6700
Practice Address - Fax:715-531-6801
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2021-04-20
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Provider Licenses
StateLicense IDTaxonomies
WI4545692084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology