Individual
ABIGAIL MATOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
Mailing address
447 WEALTHY ST SE, GRAND RAPIDS, MI 49503-6002
(260) 415-3228
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011407
MI
Other
Enumeration date
11/16/2022
Last updated
11/29/2022
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