Individual
MATTHEW JOSEPH MIVSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
231 SEASONS RD, SUITE 300, HUDSON, OH 44224
(330) 662-5666
(330) 655-3845
Mailing address
231 SEASONS RD, SUITE 300, HUDSON, OH 44224
(330) 662-5666
(330) 655-3845
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.012484
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0230659
—
OH
Enumeration date
03/17/2015
Last updated
08/01/2023
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