Individual
DR. JORDAN MATTHEW CORRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
32255 NORTHWESTERN HWY STE 130A, FARMINGTON HILLS, MI 48334-1566
(248) 723-5880
(248) 723-5889
Mailing address
32255 NORTHWESTERN HWY STE 130A, FARMINGTON HILLS, MI 48334-1566
(248) 723-5880
(248) 723-5889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101027450
MI
Other
Enumeration date
05/29/2020
Last updated
06/20/2023
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