Individual
MATTHEW UTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
13101 ALLEN RD, SUITE 511, SOUTHGATE, MI 48195-2216
(734) 374-2335
Mailing address
20439 LAW AVE, BROWNSTOWN TWP, MI 48183-5023
(313) 418-6867
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
5303005268
MI
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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