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Individual

MATTHEW ROBERT FITZPATRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
109 MICHIGAN ST NW STE 200, GRAND RAPIDS, MI 49503-3795
(888) 981-2263
Mailing address
109 MICHIGAN ST NW STE 200, GRAND RAPIDS, MI 49503-3795
(888) 981-2263

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601008047
MI

Other

Enumeration date
12/30/2016
Last updated
05/06/2025
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