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Individual

DR. MATTHEW BIRKLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6139 GLENWAY AVE, CINCINNATI, OH 45211-6312
(513) 346-3399
(513) 852-1467
Mailing address
6739 STATE ROUTE 128, P.O BOX 189, MIAMITOWN, OH 45041-0189
(513) 923-2623
(513) 852-1467

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01059348A
IN
207P00000X
Emergency Medicine Physician
Primary
35069240
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0230913
OH
05
200219210
IN
05
300030867
IN
05
64074990
KY
Enumeration date
06/10/2005
Last updated
11/27/2023
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