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Individual

MATTHEW D. BRACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
915 OLENTANGY RIVER RD, COLUMBUS, OH 43212
(614) 366-3687
(614) 293-6176
Mailing address
915 OLENTANGY RIVER RD, STE 4000, COLUMBUS, OH 43212-3153
(614) 293-4453
(614) 293-7292

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
125468
OH
207Y00000X
Otolaryngology Physician
Primary
35.125468
OH

Other

Enumeration date
05/01/2015
Last updated
02/12/2016
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