Individual
MATTHEW PHILLIP MEAD
Active
Individual
MATTHEW PHILLIP MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
4301500934
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301500934
MEDICAL LICENSE
MI
01
—
5315239311
CONTROLLED SUBSTANCE
MI
Enumeration date
06/17/2016
Last updated
10/11/2023
Update your record
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