Blake Matesic
Hospitalist in Cincinnati, OH. Individual provider (NPI-1).
NPI number1861887895
StatusActive
Last updated in NPPESJul 22, 2019
Details
- NPI
- 1861887895
- Entity type
- Individual (NPI-1)
- Name
- Blake Matesic
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2015
- Last updated
- Jul 22, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 34014033 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
234 Goodman StCincinnati, OH 45219-2364
Phone 513-475-8000 · Fax 513-584-0468
Mailing address
2830 Victory PkwyCincinnati, OH 45206-1785
Phone 513-245-3104 · Fax 513-585-5511
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