Individual
MR. MATTHEW STEPHEN VONDERHAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-8242
(513) 585-3245
Mailing address
2139 AUBURN AVE, CINCINNATI, OH 45219-2906
(513) 585-8242
(513) 585-3245
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
67.000309
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
67.000309
STATE MEDICAL BOARD OF OHIO
OH
Enumeration date
08/03/2017
Last updated
07/21/2022
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