National Provider Identifier
Matthew John Missert, D.O.
Matthew John Missert, D.O. is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 862-1420.
Profile Overview
- NPI
- 1942437652
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- June 20, 2009
- Last Updated
- June 11, 2012
Practice Location
- 2157 Main St
- Buffalo, NY 14214-2648
Phone: (716) 862-1420
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1942437652
- Entity Type
- Individual
- Last Name
- Missert
- First Name
- Matthew
- Middle Name
- John
- Name Prefix
- Dr.
- Credential
- D.O.
- Mailing Street Address
- 2157 Main St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2648
- Mailing Country
- US
- Mailing Phone
- (716) 862-1420
- Practice Street Address
- 2157 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2648
- Practice Country
- US
- Practice Phone
- (716) 862-1420
- Enumeration Date
- June 20, 2009
- Last Updated
- June 11, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)