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NPI Code Detail

MEDICARE: DR. MATTHEW WILLIAMSON DPM

MEDICARE: DR. MATTHEW WILLIAMSON DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery Podiatrist2014019083MO
2213ES0103XFoot & Ankle Surgery Podiatrist366NE

General Provider Information

NPI Number : 1487069100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW WILLIAMSON DPM
Provider Business Mailing Address
First Line : 1150 N 83RD ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-2094
Country : US
Telephone Number : 402-483-4485
Fax Number : 402-483-5372
Provider Business Practice Location Address
First Line : 1150 N 83RD ST
Second Line :
City : LINCOLN
State : NE
Zip : 68505-2094
Country : US
Telephone Number : 402-483-4485
Fax Number : 402-483-5372
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 07/21/2022

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Directions to “ DR. MATTHEW WILLIAMSON DPM” Practice Location

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