Individual
DR. HENRY J MATICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
621 S 7TH ST, VINCENNES, IN 47591-1069
(812) 886-6608
(812) 882-3008
Mailing address
621 S 7TH ST, VINCENNES, IN 47591-1069
(812) 886-6608
(812) 882-3008
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
02000949
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155150
—
IN
Enumeration date
12/13/2005
Last updated
12/01/2009
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