| Timothy J Mattison, Md Inc | |
|
5757 Monclova Rd Ste 15 Maumee OH 43537-1863 | |
| (419) 887-5833 | |
| (419) 887-5835 |
| Full Name | Timothy J Mattison, Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5757 Monclova Rd Ste 15, Maumee, Ohio |
| Authorized Official Name and Position | Timothy J Mattison (OWNER) |
| Authorized Official Contact | 4198875833 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy J Mattison, Md Inc Po Box 638132 Cincinnati OH 45263-0001 Ph: (419) 887-5833 | Timothy J Mattison, Md Inc 5757 Monclova Rd Ste 15 Maumee OH 43537-1863 Ph: (419) 887-5833 |
| NPI Number | 1396768305 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 04/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396768305 | NPI | - | NPPES |
| DB9527 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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