Individual
MATTHEW DEAN NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
550 RUSH CREEK PKWY, SUITE A, LIBERTY, MO 64068-9604
(816) 455-1155
(816) 455-1161
Mailing address
550 RUSH CREEK PKWY, SUITE A, LIBERTY, MO 64068-9604
(816) 455-1155
(816) 455-1161
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005995
PA
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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