Matthew J Bettendorf in Ashland - Surgery
Matthew J Bettendorf - NPI 1932254729
Matthew J Bettendorf is a Surgery in Ashland, Wisconsin. Matthew J Bettendorf practices all healthcare services and medical treatments related to Surgery. The NPI Number for Matthew J Bettendorf is 1932254729. The last update date is 2022-05-11.
Matthew J Bettendorf's current location address is 1615 Maple Lane, Ashland, Wisconsin. You can contact this provider via phone number 7156855510 and fax number 7156824022. The mailing address for Matthew J Bettendorf is 1615 Maple Lane, Ashland, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew J Bettendorf |
|---|---|
| Address | 1615 Maple Lane, Ashland, Wisconsin |
| Phone Number | 7156855510 |
| Fax Number | 7156824022 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1932254729 |
|---|---|
| Provider Enumeration Date | 2007-01-24 |
| Last Updated Date | 2022-05-11 |
Provider Mailing Address Detail
| Address | 1615 Maple Lane |
|---|---|
| City | Ashland |
| State | Wisconsin (WI) |
| Post Code | 54806 |
| Phone Number | 7156855510 |
| Fax Number | 7156824022 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 49280 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1932254729 | WI | -- | |
| 1932254729 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Matthew J Bettendorf?
The Matthew J Bettendorf has been issued the NPI (National Provider Identifier) 1932254729 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Matthew J Bettendorf is geographically located?
The Matthew J Bettendorf is physically situated at the following location: 1615 Maple Lane, Ashland, WI, 54806.
What is the Matthew J Bettendorf's area of specialization and corresponding taxonomy classification?
The Matthew J Bettendorf's specialty field is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their specialties.
On what date did the Matthew J Bettendorf receive its 1932254729 assignment from the Centers for Medicare & Medicaid Services?
The Matthew J Bettendorf was assigned its 1932254729 by the Centers for Medicare & Medicaid Services on 2007-01-24.
When was the Matthew J Bettendorf's information last updated?
The Matthew J Bettendorf's information was last updated on 2022-05-11.