Individual
MATT A NIEMCZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
43134 DEQUINDRE RD, STERLING HEIGHTS, MI 48314-1723
(586) 446-8688
Mailing address
901 MCCLINTOCK DR STE 107, BURR RIDGE, IL 60527-0872
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704303914
MI
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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