Individual
MR. MATTHEW THOMAS BLUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1031 SUNCREST DRIVE, LAPEER, MI 48446-1136
(810) 245-6111
(810) 245-6111
Mailing address
1031 SUNCREST DR, LAPEER, MI 48446-1136
(810) 245-6111
(810) 538-1597
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/20/2017
Last updated
10/16/2017
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