Individual
MATTHEW WILLIAM LEDERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
15855 19 MILE RD, CLINTON TWP, MI 48038-3504
(586) 263-2300
Mailing address
46300 WHITE CAP DR, MACOMB, MI 48044-5731
(586) 850-0137
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101028234
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2021
Last updated
08/20/2024
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