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Individual

DR. MATTHEW DOMINIC VITALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8000
Mailing address
467 MCKINLEY AVE, GROSSE POINTE FARMS, MI 48236-3241
(586) 690-0039

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101022649
MI

Other

Enumeration date
06/20/2016
Last updated
06/20/2016
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