Individual
DR. MATTHEW L PFISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 46845-1715
(260) 266-8900
(260) 266-8935
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01078725A
IN
208600000X
Surgery Physician
2016-01266
NC
208600000X
Surgery Physician
4301099040
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396022489
—
NC
05
—
NC2836
—
SC
Enumeration date
11/03/2011
Last updated
10/10/2022
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