Individual
MATTHEW JAMES DELLAQUILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18101 OAKWOOD BLVD, DEARBORN, MI 48124-4089
(734) 263-2383
(734) 436-8626
Mailing address
2006 HOGBACK RD, STE 5A, ANN ARBOR, MI 48105
(734) 786-4989
(734) 786-4977
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301111350
MI
Other
Enumeration date
04/08/2010
Last updated
03/27/2018
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