Individual
LAURA MARIE MATTSON
Active
Individual
LAURA MARIE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101026902
MI
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
5101026902
MI
Other
Enumeration date
03/22/2017
Last updated
06/02/2025
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