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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATEO F NICHOLSON, DO

Active

MATEO F NICHOLSON, DO is a Physical Medicine & Rehabilitation healthcare provider located in FORT WAYNE, Indiana. NPI 1659833366 is currently active in the NPPES registry. Verify at CMS.

Physical Medicine & Rehabilitation · FORT WAYNE, IN

Registration Details

NPI Number
1659833366
Provider Type
Individual
Gender
Male
NPI Issued
Apr 2, 2019 (7.3759442765743 yrs)
Last Updated
Oct 2, 2024
Licenses
125074919 (IL)
33866 (MN)
02007853A (IN)
75957-21 (WI)

Practice Information

Address
2231 CAREW ST
FORT WAYNE, IN, 468054713
Browse IN providers · Browse ZIP 46805
Phone
2604256780
Fax
2603739225
Primary Specialty
Physical Medicine & Rehabilitation
208100000X

Other Physical Medicine & Rehabilitation Providers in FORT WAYNE, IN

Name Credential NPI
DR. THOMAS L LAZOFF M.D. 1457354433
DAVID S STENSLAND M.D. 1023011004
MARK E ZOLMAN M.D. 1467455436
BRYAN DALE KAPLANSKY M.D. 1790780005
DAVID J. LUTZ M.D. 1811994213
ERIC M. SCHREIER DO 1386641587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.