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Individual

DR. MATTHEW F DILISIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808
Mailing address
2725 S 144TH ST STE 212, OMAHA, NE 68144-5253
(402) 609-3000
(402) 609-3808

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27717
NE
207X00000X
Orthopaedic Surgery Physician
MD-42090
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
27717
NEBRASKA LICENSE
NE
Enumeration date
08/18/2008
Last updated
09/09/2024
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