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Individual
DR. R. MARTIN MATISCIK
Active
Individual
DR. R. MARTIN MATISCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
2192
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000229020
ANTHEM
OH
01
—
000000350553
ANTHEM
OH
05
—
0190270
—
OH
01
—
268261599010
MEDICAL MUTUAL
OH
Enumeration date
11/13/2006
Last updated
07/08/2007
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