Individual
MATTHEW ROUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-3111
Mailing address
250 N SHADELAND AVE STE 200, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02006006A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
06/28/2016
Last updated
07/22/2022
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