Individual
MATTHEW J. TIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
958 WELLNESS WAY STE 1, PENDER, NE 68047-4518
(402) 385-3033
(402) 385-3092
Mailing address
PO BOX 100, PENDER, NE 68047-0100
(402) 385-4004
(402) 385-4041
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22930
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15966
BCBS NE
NE
05
—
42128384911
—
NE
05
—
4450726
—
IA
Enumeration date
06/16/2006
Last updated
05/05/2020
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