Individual
MATTHEW MATTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
23832 SOUTHFIELD RD, SOUTHFIELD, MI 48075-8000
(248) 569-2600
Mailing address
2873 GREENLAWN AVE, COMMERCE TOWNSHIP, MI 48382-3543
(248) 686-6863
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009033
MI
Other
Enumeration date
02/26/2019
Last updated
03/13/2019
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