Individual
MATTHEW ENZWEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
525 ALEXANDRIA PIKE, SUITE 230, SOUTHGATE, KY 41071
(859) 441-4334
(859) 441-3698
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 212-0175
(859) 746-7464
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
00223
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80002231
—
KY
05
—
90290081
—
KY
Enumeration date
07/18/2005
Last updated
09/06/2018
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