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Individual

MICHELLE L. MATOUSEK

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758
Mailing address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PENDING
OH

Other

Enumeration date
01/23/2006
Last updated
07/08/2007
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