Individual
DR. MICHAEL L MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1625 DORWART DR, SIDNEY, NE 69162-2505
(308) 254-5544
(308) 254-2672
Mailing address
1625 DORWART DR, PO BOX 379, SIDNEY, NE 69162-2505
(308) 254-5544
(308) 254-2672
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18889
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3934
BCBS OF NEBRASKA
NE
Enumeration date
11/03/2006
Last updated
08/02/2007
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