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Individual
MATTHEW GEORGE MITCHKASH
Active
Individual
MATTHEW GEORGE MITCHKASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35.142728
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
270535
CERTIFICATE OF LIMITED REGISTRATION
MA
Enumeration date
05/19/2016
Last updated
07/12/2021
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