Individual
MATTHEW WEATHERHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
12000 E 12 MILE RD, WARREN, MI 48093-3570
(586) 576-4140
Mailing address
12000 E 12 MILE RD, WARREN, MI 48093-3570
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
5101027733
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2017
Last updated
07/01/2025
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