MEDICARE: DR. MATHEW MYRON LEINWETTER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	520833	KS

General Provider Information

NPI Number	:	1396760534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATHEW MYRON LEINWETTER D.O.

Provider Business Mailing Address
First Line	:	1133 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66629-0001
Country	:	US
Telephone Number	:	785-291-4185
Fax Number	:

Provider Business Practice Location Address
First Line	:	1133 SW TOPEKA BLVD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66629-0001
Country	:	US
Telephone Number	:	785-291-4185
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	09/14/2011

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Directions to “ DR. MATHEW MYRON LEINWETTER D.O.” Practice Location

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