Individual
DR. THEODORE JOHN MATUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5534 BOBWHITE AVE, KALAMAZOO, MI 49009-4593
(269) 375-0336
(269) 375-9266
Mailing address
5534 BOBWHITE AVE, KALAMAZOO, MI 49009-4593
(269) 375-0336
(269) 375-9266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301045861
MI
Other
Enumeration date
03/02/2008
Last updated
03/02/2008
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