Individual
BRIAN EDWARD MATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
1401 CEDAR ST NE, GRAND RAPIDS, MI 49503-1375
(616) 486-3900
Mailing address
5152 COPPERLEAF CT, HUDSONVILLE, MI 49426-8233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012883
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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