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Individual

ASHLEY MATTERN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3605 ACADEMY ST, DEARBORN, MI 48124-3382
(313) 819-0941
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
(734) 712-3456

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2601001677
MI
363A00000X
Physician Assistant
Primary
5601011831
MI

Other

Enumeration date
11/05/2019
Last updated
12/21/2023
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