Individual
MATTHEW DAVID PARADISO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
47601 GRAND RIVER AVE, PROVIDENCE PARK HOSPITAL, NOVI, MI 48374
(248) 465-4100
Mailing address
1601 N VERMONT AVE, ROYAL OAK, MI 48067-1461
(586) 524-9837
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
5601007034
MI
Other
Enumeration date
06/05/2014
Last updated
07/29/2022
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