Individual
MATTHEW JAMES LEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1320 MERCY DR NW, CANTON, OH 44708-2641
(330) 489-1000
Mailing address
11469 WILLIAM PENN AVE NE, HARTVILLE, OH 44632-9115
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
RN.399571
OH
Other
Enumeration date
11/19/2020
Last updated
12/03/2022
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