Matthew Steven Nienberg, PA

NPI #1063661189 in Fremont, Ohio

Provider Information

NPI Number: 1063661189
Entity Type: Individual
Name: Matthew Steven Nienberg, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Sep 12, 2008
Last Updated: Nov 22, 2019

Practice Location

Address: 715 S TAFT AVE
City: Fremont
State: Ohio
ZIP Code: 43420-3237
Phone: (419) 334-6639

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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