Organization
CAPAC MEDICAL CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP MILAN MATICH MD (PRESIDENT OWNER)
(810) 395-4375
Entity
Organization
Contact information
Practice address
4316 CAPAC ROAD, CAPAC, MI 48014
(810) 395-4375
(810) 395-4238
Mailing address
4316 CAPAC ROAD, CAPAC, MI 48014
(810) 395-4375
(810) 395-4238
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
PM 406642
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1909485
—
MI
Enumeration date
01/03/2007
Last updated
08/22/2020
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