Individual
DR. GERALD E MATZKE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
918 20TH STREET, GOTHENBURG, NE 69138-1237
(308) 537-7131
(308) 537-7310
Mailing address
918 20TH STREET, GOTHENBURG, NE 69138
(308) 537-2174
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0436174
KS
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
16542
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07025
BC/BS
NE
05
—
10026082600
—
NE
Enumeration date
07/26/2006
Last updated
04/14/2015
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