Individual
PATRICIA MATTEVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 BAY PARK DR, OREGON, OH 43616-4920
(419) 690-7900
(419) 866-5453
Mailing address
7707 CHESTNUT RDG, MAUMEE, OH 43537-8995
(419) 868-1811
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35066848
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000550247
ANTHEM
OH
05
—
0122325
—
OH
Enumeration date
10/25/2006
Last updated
11/03/2009
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