Individual
DR. MATTHEW JOHN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
(218) 333-5360
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
59768
MN
208600000X
Surgery Physician
RL 11620
ND
Other
Enumeration date
07/15/2010
Last updated
03/25/2022
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