Individual
DR. MATTHEW J BETTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5510
(715) 682-4022
Mailing address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5510
(715) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
49280
MN
208600000X
Surgery Physician
Primary
54097-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932254729
—
MN
05
—
1932254729
—
WI
Enumeration date
01/24/2007
Last updated
05/11/2022
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