Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Matthew Edward Frericks, ATC, OTC

Individual provider Surgical Assistant · NPI 1659704492

Mr. Matthew Edward Frericks, ATC, OTC is a Surgical Assistant in Woodbury, Minnesota. Licensed in Minnesota. Registered with an NPI since 2013.

Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

710 Commerce Dr
Woodbury, MN 55125-4919
Phone: (651) 968-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2556 (MN)
Surgical Assistant Taxonomy 246ZC0007X · Licence 19-0604 (MN)

Record details

NPI number1659704492
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , OTC
Sole proprietorNo
NPI enumeratedAugust 15, 2013
Last updated in NPPESFebruary 7, 2020
Certification dateFebruary 7, 2020

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