Individual
MATTHEW JOHN SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
28100 GRAND RIVER AVE STE 313, FARMINGTON HILLS, MI 48336-5970
(947) 521-7150
(248) 426-2473
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101019118
MI
Other
Enumeration date
05/11/2011
Last updated
11/17/2020
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