1639388911 Matthew J Provenzano, M.D.
Pediatric Otolaryngology Physician
Active
Basic Information
- Full Name
- Matthew J Provenzano, M.D.
- Gender
- Male
- Enumeration Date
- May 22, 2007
- Last Update
- August 24, 2023
Practice Location
- Address
- 1225 E COOLSPRING AVE STE 300
MICHIGAN CITY, IN 463606312 - Phone
- (219) 878-5032
- Fax
- (219) 861-8151
Mailing Address
- Address
- PO BOX 781076
DETROIT, MI 482781076 - Phone
- (317) 528-4800
- Fax
- (317) 865-1479
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | Otolaryngology | 01072216A | IN | No |
| Otolaryngology Physician | 207Y00000X | Otolaryngology | 36490 | IA | No |
| Pediatric Otolaryngology Physician Pediatric Otolaryngology | 207YP0228X | Otolaryngology | 57.019215 | OH | No |
| Pediatric Otolaryngology Physician Pediatric Otolaryngology | 207YP0228X | Otolaryngology | 01072216A | IN | Primary |
Digital Endpoints
DIRECT Use: DIRECT
mprovenzano246906@Direct.FranciscanAlliance.org
Frequently Asked Questions
What is Matthew J Provenzano, M.D.'s NPI number?
Matthew J Provenzano, M.D.'s NPI number is 1639388911.
Which doctor has NPI number 1639388911?
The doctor with NPI number 1639388911 is Matthew J Provenzano, M.D..
What is Matthew J Provenzano, M.D.'s practice address?
Matthew J Provenzano, M.D.'s practice address is 1225 E COOLSPRING AVE STE 300, MICHIGAN CITY, IN, 463606312.
Which doctor practices at 1225 E COOLSPRING AVE STE 300, MICHIGAN CITY, IN, 463606312?
Matthew J Provenzano, M.D. practices at 1225 E COOLSPRING AVE STE 300, MICHIGAN CITY, IN, 463606312.
What is Matthew J Provenzano, M.D.'s mailing address?
Matthew J Provenzano, M.D.'s mailing address is PO BOX 781076, DETROIT, MI, 482781076.
What is Matthew J Provenzano, M.D.'s phone number?
Matthew J Provenzano, M.D.'s phone number is (219) 878-5032.
Who is (219) 878-5032?
(219) 878-5032 is the phone number for Matthew J Provenzano, M.D..
What is Matthew J Provenzano, M.D.'s specialty?
Matthew J Provenzano, M.D.'s specialty is Pediatric Otolaryngology Physician.
What type of doctor is Matthew J Provenzano, M.D.?
Matthew J Provenzano, M.D. is a Pediatric Otolaryngology Physician.
Is Matthew J Provenzano, M.D. a Pediatric Otolaryngology?
Yes, Matthew J Provenzano, M.D. is a Pediatric Otolaryngology.
Is Matthew J Provenzano, M.D. still practicing?
Yes, Matthew J Provenzano, M.D. is currently practicing.
Is Matthew J Provenzano, M.D. accepting new patients?
Matthew J Provenzano, M.D. may be accepting new patients. Please call their office at (219) 878-5032 to inquire about availability.
Is NPI 1639388911 still active?
Yes, NPI 1639388911 is currently active.
Where does Matthew J Provenzano, M.D. practice?
Matthew J Provenzano, M.D. practices in MICHIGAN CITY, IN.
Is Matthew J Provenzano, M.D. a male or female doctor?
Matthew J Provenzano, M.D. is a male doctor.