Individual
DR. MATTHEW JAMES WASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 E HURON RIVER DR, YPSILANTI, MI 48197-1051
(734) 712-3161
(734) 712-2244
Mailing address
PO BOX 446, ANN ARBOR, MI 48106-0446
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
4301083495
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301083495
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301083495
MI
Other
Enumeration date
04/10/2007
Last updated
10/10/2016
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