Individual
MATTHEW L BILODEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7916 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 432-2297
(260) 434-6433
Mailing address
MEDPARTNERS, ATTN: BARB COPELAND, 6920 POINTE INVERNESS WAY, SUITE 200, FORT WAYNE, IN 46804-7934
(260) 479-3514
(260) 479-3520
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01069726A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201022280
—
IN
05
—
2941464
—
OH
01
—
H000050
MEDICARE
OH
Enumeration date
01/04/2007
Last updated
09/11/2020
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