Individual
MRS. LINDA K ORMOND-MATLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3399 POLLOCK RD, GRAND BLANC, MI 48439-8393
(810) 603-0170
(810) 603-2370
Mailing address
2402 JOSSMAN RD, HOLLY, MI 48442-8205
(242) 627-7128
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601002154
MI
Other
Enumeration date
02/22/2007
Last updated
10/29/2007
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