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Individual

DR. MATTHEW L. NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
301 N BROADWAY, HERITAGE SQUARE BUILDING, DE PERE, WI 54115-2557
(920) 336-7700
(920) 338-1799
Mailing address
2257 SAMANTHA ST, APT 86, DE PERE, WI 54115-7413
(312) 399-7694

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1430
SC
152W00000X
Optometrist
Primary
3132-35
WI

Other

Enumeration date
10/10/2006
Last updated
04/14/2009
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