Individual
MATTHEW THOMAS POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
50 N PERRY, PONTIAC, MI 48342
(248) 338-5392
Mailing address
50 N PERRY, PONTIAC, MI 48342
(248) 338-5392
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5151016135
MI
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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