Individual
MATTHEW EDWARD NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
UNC CHAPEL HILL DEPT OF SURGERY, UROLOGY: CAMPUS BOX 7235, CHAPEL HILL, NC 27599-0001
(919) 843-8733
(919) 966-0098
Mailing address
UNC CHAPEL HILL DEPT OF SURGERY, UROLOGY: CAMPUS BOX 7235, CHAPEL HILL, NC 27599-0001
(919) 843-8733
(919) 966-0098
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2008-00910
NC
208800000X
Urology Physician
D0064034
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2008-00910
NORTH CAROLINA MEDICAL BOARD
NC
01
—
D0064034
MEDICAL LICENSE
MD
Enumeration date
01/15/2007
Last updated
04/01/2021
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