Individual
DR. MATTHEW MICHAEL CORRIVEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2000
(859) 341-7867
Mailing address
PO BOX 640738, CINCINNATI, OH 45264-0738
(859) 341-2666
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
49890
KY
Other
Enumeration date
03/20/2013
Last updated
05/04/2017
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