Individual
MATTHEW D BACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
24255 W 13 MILE RD STE 100, BINGHAM FARMS, MI 48025-4345
(419) 569-5794
Mailing address
24255 W 13 MILE RD STE 100, BINGHAM FARMS, MI 48025-4345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008997
MI
Other
Enumeration date
11/21/2018
Last updated
10/01/2024
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