Individual
MATTHEW D BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2799 W GRAND BLVD # K12, DETROIT, MI 48202-2689
(313) 916-2181
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 916-2181
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008997
MI
Other
Enumeration date
11/21/2018
Last updated
06/22/2026
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