Individual
MATTHEW MINSEOK KEUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36060 EUCLID AVE STE 101, WILLOUGHBY, OH 44094-4661
(440) 269-4990
(440) 269-4991
Mailing address
36060 EUCLID AVE STE 101, WILLOUGHBY, OH 44094-4661
(440) 269-4990
(440) 269-4991
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
35078037
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2253289
—
OH
Enumeration date
09/14/2005
Last updated
04/02/2012
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