Individual
MATHEW WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1231 COLUMBUS AVE UNIT A1, LEBANON, OH 45036-8196
(513) 696-4495
(513) 228-1236
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 707-4041
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F07181213
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0333690
—
OH
01
—
1881162048
NPI
—
Enumeration date
11/06/2018
Last updated
04/01/2021
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