Individual
MATTHEW MICHAEL FOURMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5700 MONROE ST UNIT 101, SYLVANIA, OH 43560-2779
(419) 291-6777
(419) 480-6607
Mailing address
5700 MONROE ST UNIT 101, SYLVANIA, OH 43560-2779
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01075147A
IN
208600000X
Surgery Physician
Primary
35.098301
OH
208600000X
Surgery Physician
4301083501
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0067263
—
OH
Enumeration date
04/16/2008
Last updated
04/06/2026
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