Individual
MR. JOHN M MATIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1331 LAKE DR SE, GRAND RAPIDS, MI 49506-1674
(616) 459-7215
(616) 235-0979
Mailing address
1331 LAKE DR SE, GRAND RAPIDS, MI 49506-1674
(616) 459-7215
(616) 235-0979
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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