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Individual
RICHARD MATTER
Active
Individual
RICHARD MATTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301039400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1577948
—
MI
01
—
300F362430
BCBSM
MI
05
—
64129463
—
KY
01
—
P00396831
RR MEDICARE
KY
Enumeration date
03/28/2006
Last updated
01/29/2013
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