Individual
THOMAS P. MATRKA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 W MAIN ST, SUITE 109, WILMINGTON, OH 45177-2170
(937) 382-6951
(937) 382-5081
Mailing address
630 W MAIN ST, SUITE 109, WILMINGTON, OH 45177-2170
(937) 382-6951
(937) 382-5081
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35039905M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0432982
—
OH
Enumeration date
10/21/2005
Last updated
07/08/2007
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