Individual
DR. MATTHEW CHARLES WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
16120 W DODGE RD, OMAHA, NE 68118-2049
(402) 354-0610
(402) 354-0611
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
(402) 354-2100
(402) 354-2155
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5281
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1225062680
—
IA
05
—
47068731785
—
NE
Enumeration date
07/10/2006
Last updated
12/18/2013
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