Individual
MATTHEW MICHAEL FORNEFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
481 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 331-8181
(812) 331-8180
Mailing address
481 S LANDMARK AVE, BLOOMINGTON, IN 47403-5005
(812) 331-8181
(812) 331-8180
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
IN01034586
IN
Other
Enumeration date
11/16/2005
Last updated
12/19/2022
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