Individual
MATHEW JAMES BOYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7921 JULIE DR, PORTAGE, MI 49024-4921
(269) 323-1780
(269) 323-1780
Mailing address
7921 JULIE DR, PORTAGE, MI 49024-4921
(269) 323-1780
(269) 323-1780
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
AF390281086
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6411
KALAMAZOO COMMUNITY MENTAL HEALTH
MI
Enumeration date
06/11/2008
Last updated
06/11/2008
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