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Individual

MATTHEW CHARLES RAJNISH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2 CROCKER BLVD, MOUNT CLEMENS, MI 48043-2528
(586) 468-2266
Mailing address
43065 FREEPORT DR, STERLING HEIGHTS, MI 48313-2723
(586) 214-5800

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401014183
MI

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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