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Individual

DR. DAVID N MATISOFF

Active
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Individual

DR. DAVID N MATISOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
4301040001
MI
2080P0202X
Pediatric Cardiology Physician
DM040001
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
350C31064
BLUE CROSS BLUE SHIELD
MI
01
40155
BLUE CARE NETWORK
MI
01
7500132
PHP
MI
05
L3338302
MI
Enumeration date
08/25/2005
Last updated
02/29/2016
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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