Individual
MATTHEW NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DABR
Contact information
Practice address
1700 COFFEE RD, MODESTO, CA 95355-2803
(209) 526-4500
Mailing address
5441 CHRONICLE CT, RIVERBANK, CA 95367-9577
Taxonomy
Speciality
Code
Description
License number
State
2085R0205X
Radiological Physics Physician
Primary
TCP-00197
CA
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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