Individual provider · Type 1 NPI

Mathew J. So, MD

Diagnostic Radiology Physician · Roseville, MN

NPI number 1215126503 Active

Practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X60597 (WI)
Diagnostic Radiology Physician Primary 2085R0202X55169 (MN)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1215126503

Mathew J. So, MD's National Provider Identifier is 1215126503, issued on Oct 23, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Roseville, MN. The record was last updated on Jul 21, 2021.