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Individual

MATTHEW KITTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
4940 W CLARK RD STE 100, YPSILANTI, MI 48197-0860
(734) 971-1188
(734) 971-3658
Mailing address
4940 W CLARK RD STE 100, YPSILANTI, MI 48197-0860
(734) 971-1188
(734) 971-3658

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021298
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021298
MI

Other

Enumeration date
06/27/2014
Last updated
07/21/2022
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