Individual
DANIEL WALTER MATTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
39645 RAMBLER DR, STERLING HEIGHTS, MI 48313-5158
(586) 822-5706
Mailing address
39645 RAMBLER DR, STERLING HEIGHTS, MI 48313-5158
(586) 822-5706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501006690
MI
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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