Individual
MARIA CHAKKALAMURIYIL MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29200 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1274
(586) 777-7577
Mailing address
29200 HARPER AVE, SAINT CLAIR SHORES, MI 48081-1274
(586) 777-7577
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601012776
MI
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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