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Matthew Antalis

Internal Medicine in Lima, OH. Individual provider (NPI-1).

NPI number1619470069
StatusActive
Last updated in NPPESJul 23, 2021

Details

NPI
1619470069
Entity type
Individual (NPI-1)
Name
Matthew Antalis
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 12, 2018
Certification date
Jul 23, 2021
Last updated
Jul 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine34015164OHYes

Practice location

730 W Market St
Lima, OH 45801-4602

Phone 419-226-4431 · Fax 419-226-4315

Mailing address

Po Box 639882
Cincinnati, OH 45263-9882

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