Individual
MATTHEW ROBERT NEERDAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3581
(920) 433-3500
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 433-3500
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
531-17
WI
Other
Enumeration date
04/05/2023
Last updated
04/25/2023
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