Individual
MATTHEW LEE MARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1900 WEALTHY ST SE STE 200, GRAND RAPIDS, MI 49506-2969
(616) 774-0276
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301083546
MI
Other
Enumeration date
06/09/2006
Last updated
05/08/2023
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