Individual
MATTHEW D MICHELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
15121 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1359
(313) 806-4952
Mailing address
15121 KERCHEVAL AVE, GROSSE POINTE PARK, MI 48230-1359
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
MI
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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