Individual
MATTHEW FOREST APPENZELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Mailing address
4353 DODGE ST, OMAHA, NE 68131-2709
(402) 552-2020
(402) 552-2367
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28330
NE
207W00000X
Ophthalmology Physician
42480
IA
207WX0107X
Retina Specialist (Ophthalmology) Physician
28330
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200900370
—
IN
05
—
2837845
—
OH
Enumeration date
05/25/2007
Last updated
04/16/2019
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