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Individual

MATTHEW J RIVARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
16909 LAKESIDE HILLS CT, SUITE 211, OMAHA, NE 68130-4664
(402) 758-5250
(402) 758-8255
Mailing address
16909 LAKESIDE HILLS CT, SUITE 211, OMAHA, NE 68130-4664
(402) 758-5250
(402) 758-8255

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20584
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00973
BCBS IOWA
IA
05
0593186
IA
01
17-01046
SHARE ADVANTAGE LAKESIDE
NE
01
17-01047
SHARE ADVANTAGE/IMMANUEL
NE
01
247749
MIDLANDS CHOICE
NE
01
30009
BCBS NEBRASKA
NE
05
47076756913
NE
Enumeration date
08/09/2006
Last updated
02/07/2008
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