Individual
MATTHEW DAVID BATDORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1225 RED PINE RUN, CHARLEVOIX, MI 49720-9234
(231) 675-6649
Mailing address
1225 RED PINE RUN, CHARLEVOIX, MI 49720-9234
(231) 675-6649
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
119841
TX
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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