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Individual

MATTHEW B DEWYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-4341
Mailing address
2537 MOMENTUM PL, CHICAGO, IL 60689-5325
(616) 975-1845
(616) 285-0846

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101009537
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00363193
RAILROAD MEDICARE
MI
Enumeration date
09/07/2006
Last updated
09/13/2011
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