Individual
DR. MATTHEW JOHN MAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
307 N BALL ST, OWOSSO, MI 48867-2801
(989) 723-1101
(989) 723-1665
Mailing address
307 N BALL ST, OWOSSO, MI 48867-2801
(989) 723-1101
(989) 723-1665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4723404
—
MI
Enumeration date
07/17/2006
Last updated
07/08/2007
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