Individual
MATTHEW J OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
33155 ANNAPOLIS ST, WAYNE, MI 48184-2405
(734) 467-2483
Mailing address
2475 MCDOUGALL STREET, SUITE 245, WINDSOR, ONTARIO N8X3N-9
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5151011930
MI
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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