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Individual
MATTHEW JOEL HENTGES
Active
Individual
MATTHEW JOEL HENTGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC006288
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006288
PA
213ES0131X
Foot Surgery Podiatrist
SC006288
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103032566
—
PA
Enumeration date
06/30/2011
Last updated
10/08/2020
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