Individual
PRAISE MATEMAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1941
Mailing address
29910 GREEN ACRES, FARMINGTON HILLS, MI 48334-2136
(269) 313-1856
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101018955
MI
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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