Individual
MR. MATTHEW NEDWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4771 MICHIGAN AVE, DETROIT, MI 48210-3247
(313) 897-2600
(313) 897-2424
Mailing address
1416 ERICKSON RD, BOYNE CITY, MI 49712-9199
(313) 618-6824
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5601007113
MI
Other
Enumeration date
09/10/2014
Last updated
10/28/2021
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