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Individual

MATTHEW DORER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PA-C, AT

Contact information

Practice address
2713 LINCOLN AVE, PARMA, OH 44134-1923
(216) 313-1712
Mailing address
2713 LINCOLN AVE, PARMA, OH 44134-1923
(216) 313-1712

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT005119
OH
363A00000X
Physician Assistant
Primary
APP-001012951
OH

Other

Enumeration date
10/29/2014
Last updated
10/21/2025
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