Individual
MR. THOMAS J MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
24600 NORTHWESTERN HWY, SOUTHFIELD, MI 48075-2471
(248) 745-4900
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
4704230674
MI
Other
Enumeration date
08/28/2025
Last updated
08/28/2025
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