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Individual

DR. MATTHEW J DYKHUIZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2865 CHANCELLOR DR, SUITE 215, CRESTVIEW HILLS, KY 41017-3912
(859) 344-2079
(859) 581-7207
Mailing address
2865 CHANCELLOR DR, STE 215, CRESTVIEW HILLS, KY 41017-3931
(859) 344-2079
(859) 581-7207

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
35.128411
OH
207W00000X
Ophthalmology Physician
Primary
46137
KY
207WX0107X
Retina Specialist (Ophthalmology) Physician
35.128411
OH
207WX0107X
Retina Specialist (Ophthalmology) Physician
46137
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0110825
OH
05
7100243970
KY
Enumeration date
07/01/2009
Last updated
11/28/2018
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