Individual
MICHAEL NATHAN METZMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
36 1ST AVE, BOSTON, MA 02129-4557
(617) 724-4499
Mailing address
10 CLARENDON AVE, SOMERVILLE, MA 02144-1705
(774) 696-2254
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/06/2017
Last updated
08/06/2017
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