Individual
TIMOTHY CARMALT MATLACK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 EAST MARKET ST, AKRON, OH 44309-2090
(330) 375-3000
Mailing address
1746 19TH ST, CUYAHOGA FALLS, OH 44223-1846
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
57.010206
OH
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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