MICHELLE SUSAN MATHISON
NPI 1902574007
Technician, Other in Woodbury, MN

Active since September 02, 2021
731 BIELENBERG DR STE 103-105, WOODBURY, MN 55125(612) 800-8344 Get Directions Write a Review

NPPES record last updated: September 2, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Technician, Other

About MICHELLE MATHISON

This page provides the complete NPI Profile along with additional information for Michelle Mathison, a provider established in Woodbury, Minnesota with a medical specialization in Technician, Other. The healthcare provider is registered in the NPI registry with number 1902574007 assigned on September 2021. The practitioner's primary taxonomy code is 247200000X. The provider is registered as an individual and her NPI record was last updated 5 years ago.

NPI
1902574007 Verify this NPI
Provider Name
MICHELLE SUSAN MATHISON
Gender
Female
Entity Type
Individual
Location Address
731 BIELENBERG DR STE 103-105 WOODBURY, MN 55125
Location Phone
(612) 800-8344
Mailing Address
1996 COUNTY ROAD D E APT 223 MAPLEWOOD, MN 55109
Mailing Phone
(651) 353-1077
Is Sole Proprietor?
Yes
Enumeration Date
09-02-2021
Last Update Date
09-02-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Technician, Other

Taxonomy Code
247200000X
Type
Technologists, Technicians & Other Technical Service Providers
License State
MN
Taxonomy Description
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902574007, enumerated as an "individual" on September 02, 2021.

The provider is located at 731 BIELENBERG DR STE 103-105 WOODBURY, MN 55125 and the phone number is (612) 800-8344.

Technician, Other with taxonomy code 247200000X.