Individual
DANTE MATTIOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
19000 ST JOES PKWY STE 310, LIVONIA, MI 48152-1477
(734) 743-4540
Mailing address
6085 MCGUIRE RD, FENTON, MI 48430-9082
(810) 288-7800
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MI
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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