Individual
MATTHEW JARUWANNAKORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N EWING ST, LANCASTER, OH 43130-3372
(740) 687-8183
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.125006
OH
207L00000X
Anesthesiology Physician
57.019374
OH
Other
Enumeration date
08/16/2011
Last updated
11/20/2020
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