Individual
MATTHEW RYAN NIELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 VANESS ST APT 4102, SOUTH BEND, IN 46637-5711
(317) 919-4921
Mailing address
1855 VANESS ST APT 4102, SOUTH BEND, IN 46637-5711
(317) 919-4921
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/19/2024
Last updated
12/19/2024
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