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NPI Code Detail

MEDICARE: DR. MATTHEW ADAM TESTRAKE DPM

MEDICARE: DR. MATTHEW ADAM TESTRAKE DPM
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
1213E00000XPodiatrist36.003538OH

General Provider Information

NPI Number : 1609030634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW ADAM TESTRAKE DPM
Provider Business Mailing Address
First Line : 9500 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44195-0001
Country : US
Telephone Number : 216-444-9500
Fax Number :
Provider Business Practice Location Address
First Line : 120 E 2ND ST
Second Line : 4TH FLOOR
City : ERIE
State : PA
Zip : 16507-1537
Country : US
Telephone Number : 814-877-3668
Fax Number : 814-877-3624
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2008
Last Update Date : 06/03/2024

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Directions to “ DR. MATTHEW ADAM TESTRAKE DPM” Practice Location

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