Individual
DR. MATTHEW TYLER BARTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845-1739
(833) 724-8326
(260) 425-6845
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
02006296A
IN
207RH0003X
Hematology & Oncology Physician
OT016741
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/10/2015
Last updated
10/14/2022
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