# MATTHEW WILLIAM EBINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225087448
- **Gender:** Man
- **Credential:** DO

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 5101013506 | MI | — |
| 207RC0000X | Cardiovascular Disease Physician | 5101013506 | MI | — |
| 207RC0001X | Clinical Cardiac Electrophysiology Physician | 5101013506 | MI | Yes |

## Other

- **Enumeration date:** 05/06/2006
- **Last updated:** 10/05/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11 | 11 | MI |
| 05 | — | PENDING | — | MI |