Individual
MATTHEW ALAN NIELSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W ESPLANADE AVE, KENNER, LA 70065-2489
(504) 464-8588
(504) 464-8586
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
328739
LA
208800000X
Urology Physician
ME134652
FL
Other
Enumeration date
03/28/2013
Last updated
08/30/2024
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