Individual
DR. MATTHEW DAVID CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 394-3185
(616) 494-4003
Mailing address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 394-3185
(616) 494-4003
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
4301098138
MI
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301098138
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000525386
ANTHEM
IN
01
—
11-00719
MEDICA
IN
05
—
200859920
—
IN
01
—
I73433
UPIN
—
01
—
P00402867
RR MEDICARE
IN
Enumeration date
05/07/2007
Last updated
07/05/2012
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