Individual
MATTHEW EDWARD NIELSEN
Active
Individual
MATTHEW EDWARD NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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