Individual
MR. MATTHEW WAYNE OAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4100 LAKE DR SE STE 305, GRAND RAPIDS, MI 49546-8292
(616) 267-9200
Mailing address
4100 LAKE DR SE STE 305, GRAND RAPIDS, MI 49546-8292
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5201005738
MI
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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