Individual
JOAN M MATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4482 HURON ST, NORTH BRANCH, MI 48461-8667
(810) 688-3093
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704128073
MI
Other
Enumeration date
04/18/2011
Last updated
08/22/2011
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