Individual
MATTHEW ROBERT WOLFGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8240 NORTHCREEK DR, CINCINNATI, OH 45236-2377
(513) 246-7000
Mailing address
4685 FOREST AVE, CINCINNATI, OH 45212-3397
(513) 246-1964
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.131010
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
04/15/2014
Last updated
12/14/2021
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