Individual
MATTHEW ANDERS FUGLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
983280 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-3280
(402) 559-5510
(402) 559-6749
Mailing address
5443 HAMILTON STREET, OMAHA, NE 68132
(320) 905-1990
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
154504
FL
208600000X
Surgery Physician
30144
NE
Other
Enumeration date
06/29/2015
Last updated
03/25/2022
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