Individual
MATTHEW DAVID PAINTING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
415 WEST RUSS ROAD, GREENVILLE, OH 45331
(937) 548-1244
(937) 548-8898
Mailing address
415 WEST RUSS ROAD, GREENVILLE, OH 45331
(937) 548-1244
(937) 548-8898
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
36003537
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36003537
OHIO STATE MEDICAL LICENSE
OH
Enumeration date
04/09/2010
Last updated
03/31/2021
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