Organization
CAPAC MEDICAL CENTER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP MATICH M D (PRESIDENT)
(810) 395-4375
Entity
Organization
Contact information
Practice address
4316 CAPAC RD, MUSSEY, MI 48014-3108
(810) 395-4375
Mailing address
4316 CAPAC RD, MUSSEY, MI 48014-3108
(810) 395-4375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
PM406642
MI
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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