IndividualActive
Adam Mattox, D.O.
NPI 1922269448 · Dermatology Physician · Minneapolis, MN
Provider details
- NPI number
- 1922269448
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 11014342A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
909 Fulton St Se
Minneapolis, MN 55455-4800
Phone: (612) 672-7422
Approximate (ZIP-level) locationGet directions
Mailing address
7031 Antler Way
Indianapolis, IN 46254-5622
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2017-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.