Most Relevant Information
Provider Data
| NPI Number: | 1003277336 |
| Provider Name: | MATTHEW BENICK |
| Entity Type: | Individual |
| Taxonomy Code: | 174400000X |
| Specialty: | Specialist |
| License Number: | 65373 |
Most Important Dates
| Enumeration Date: | 03/15/2016 |
| Last Updated: | 04/02/2020 |
Provider Practice Location
10701 EAST BLVD
5M-690E EUL
CLEVELAND
OH
441061702
Practice Location Phone/Fax
| Phone: | 2167913800 |
| Fax: |
Provider Mailing Location
1522 HANNUM DR
STREETSBORO
OH
442415194
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |