Individual
DR. MATTHEW JOHN NELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 237-9712
(701) 237-0922
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
30252
AZ
207X00000X
Orthopaedic Surgery Physician
Primary
46060
MN
207X00000X
Orthopaedic Surgery Physician
9363
ND
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
30252
AZ
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
46060
MN
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
9363
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12329
—
ND
Enumeration date
05/16/2006
Last updated
05/13/2022
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