Individual
MATTHEW BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
784 MEDINA RD STE 107, MEDINA, OH 44256-9634
(330) 591-9635
(330) 591-4150
Mailing address
784 MEDINA RD STE 107, MEDINA, OH 44256-9634
(330) 591-9635
(330) 591-4150
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003897
OH
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000000000
—
Other
Enumeration date
04/12/2016
Last updated
06/03/2019
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