Individual
MATTHEW NEIL POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5933 GRAND HAVEN RD, MUSKEGON, MI 49441-6011
(231) 799-3300
(231) 799-3322
Mailing address
5933 GRAND HAVEN RD, MUSKEGON, MI 49441-6011
(231) 799-3300
(231) 799-3322
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013736
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4309931
—
MI
Enumeration date
09/15/2005
Last updated
05/05/2008
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