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Individual

DR. MATTHEW CHARLES WERTHAMMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2900 1ST AVE, OPC SUITE 10, HUNTINGTON, WV 25702
(304) 525-6825
(304) 525-0300
Mailing address
PO BOX 4190, BARBOURSVILLE, WV 25504-4190
(304) 399-4405
(304) 399-2526

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
23611
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2990385
OH
05
3810015863
WV
01
613918805
BLACK LUNG/FEC
WV
05
7100087680
KY
01
8103289
CIGNA
WV
01
9001376
AETNA
WV
Enumeration date
06/09/2009
Last updated
04/22/2021
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