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Individual

DR. MATRIOSCA NATACHA UMLAUF

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2331 MONROE ST, DEARBORN, MI 48124-3009
(313) 792-0345
(313) 792-0346
Mailing address
5 W LANE, DEARBORN, MI 48124-1193
(313) 274-3197

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301066301
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4078422
MI
Enumeration date
02/23/2006
Last updated
07/09/2007
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