Individual
MR. MATTHEW W OZIMEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1801 N. SENATE BLVD., SUITE 755, INDIANAPOLIS, IN 46202-1260
(317) 923-1787
(317) 962-6259
Mailing address
1801 N SENATE BLVD, SUITE 755, INDIANAPOLIS, IN 46202
(317) 923-1787
(317) 962-6259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10001060A
IN
363AM0700X
Medical Physician Assistant
50.002707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300026718
—
IN
01
—
OZPA29961
MEDICARE PTAN
OH
Enumeration date
11/19/2007
Last updated
06/24/2019
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