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Individual

CAROLINE DENNIS MATHEW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4212 LENNON ROAD, FLINT, MI 48507-1025
(810) 733-2311
(810) 733-8773
Mailing address
4212 LENNON ROAD, FLINT, MI 48507-1025
(810) 733-2311
(810) 733-8773

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301061620
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0P18770
MI
05
4381040
MI
05
4381040 10
MI
Enumeration date
08/03/2005
Last updated
01/17/2014
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