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Individual

DR. MATTHEW W HECKLER

Active
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Individual

DR. MATTHEW W HECKLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
9585
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3046448
OH
01
P00871995
RR MEDICARE
OH
Enumeration date
05/04/2007
Last updated
01/07/2011
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