DR. Matthew L. Nelson, O.D.

NPI #1194812099 in De Pere, Wisconsin

Provider Information

NPI Number: 1194812099
Entity Type: Individual
Name: DR. Matthew L. Nelson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Oct 10, 2006
Last Updated: Apr 14, 2009

Practice Location

Address: 301 N BROADWAY
Address 2: HERITAGE SQUARE BUILDING
City: De Pere
State: Wisconsin
ZIP Code: 54115-2557
Phone: (920) 336-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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