Individual
DR. IRINEO C MATIAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1371 W MAIN ST, GAYLORD, MI 49735-7401
(989) 732-4118
(989) 732-7137
Mailing address
1371 W MAIN ST, GAYLORD, MI 49735-7401
(989) 732-4118
(989) 732-7137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301031842
MI
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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