Individual
MATTHEW E PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4849 E MAIN ST, COLUMBUS, OH 43213-3161
(614) 863-5188
Mailing address
4849 E MAIN ST, COLUMBUS, OH 43213-3161
(614) 863-5188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.051875
OH
207Q00000X
Family Medicine Physician
Primary
35051875
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0596654
—
OH
Enumeration date
08/15/2005
Last updated
07/16/2020
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