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Individual
MATTHEW BRENTON NIEMEYER
Active
Individual
MATTHEW BRENTON NIEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MED-PHYS-LIC-66554
MT
207R00000X
Internal Medicine Physician
MED-RES-LIC-42284
MT
208M00000X
Hospitalist Physician
Primary
MED-PHYS-LIC-66554
MT
Other
Enumeration date
03/25/2015
Last updated
02/04/2025
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