Individual
MATTHEW MADION JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301053047
MI
208600000X
Surgery Physician
64881
TN
Other
Enumeration date
04/03/2017
Last updated
04/13/2023
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