Individual
JOHN MATTARELLA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
35220 CURTIS RD, LIVONIA, MI 48152-2900
(734) 241-3891
(734) 241-0014
Mailing address
35220 CURTIS RD, LIVONIA, MI 48152-2900
(734) 241-3891
(734) 241-0014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704134134
MI
Other
Enumeration date
01/20/2006
Last updated
07/09/2007
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