Individual
MATTHEW J. SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 369-8711
(740) 368-5050
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
(937) 619-4350
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34007608
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000346392
BCBS MEMORIAL
OH
01
—
000000346393
BC/BS # AT GRADY
OH
01
—
050580516
CIGNA # AT GRADY
OH
05
—
2521300
—
OH
01
—
P00176742
RAIL ROAD MEDICARE
—
01
—
P00446503
MEDICARE RR
OH
Enumeration date
04/17/2006
Last updated
07/07/2022
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