Individual
DR. JOSEPH MATIEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2064 W AUBURN RD, ROCHESTER HILLS, MI 48309-3628
(248) 853-2222
Mailing address
14380 TOWERING OAKS DR, SHELBY TOWNSHIP, MI 48315-1963
(586) 992-3583
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901015171
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D8012670
BCBS GROUP ID #
MI
Enumeration date
02/06/2007
Last updated
07/08/2007
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