Search › Minnesota › 364SP0807X
Herbert Matanga, CNP
NPI 1003664525 · on the registry since 2024
Practice
- Address
- 19427 136th Ave N
Rogers, MN 55374 - Phone
- (763) 516-4476
- Organisation at this address
- Good State Of Mind And Medical Cannabis Psychiatric Clinic
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 364SP0807X
364SP0807X
- Licence states on file
- MN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-05-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota