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Individual

MATTHEW JOHN YOUSIF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1500 W BIG BEAVER RD STE 115, TROY, MI 48084-3522
(248) 329-0711
Mailing address
801 JOE MANN BLVD STE P-6, MIDLAND, MI 48642-8900
(989) 791-2455

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
5101020901
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5101020901
STATE OF MICHIGAN
MI
Enumeration date
04/03/2014
Last updated
12/12/2023
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