Individual
MATTHEW K FOLSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 E DOUGLAS RD STE 207, MISHAWAKA, IN 46545-1465
(574) 335-6850
(574) 335-0849
Mailing address
707 CEDAR ST STE 405, SOUTH BEND, IN 46617-2059
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01074919
IN
208600000X
Surgery Physician
01074919A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201308490
—
IN
05
—
7101141530
—
KY
Enumeration date
05/26/2009
Last updated
04/30/2026
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