Individual
ABBIE MATLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15855 19 MILE RD, CLINTON TOWNSHIP, MI 48038-3504
(248) 252-6423
Mailing address
5000 AMBASSADOR CAFFERY PKWY BLDG 15, LAFAYETTE, LA 70508-6984
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601012646
MI
Other
Enumeration date
09/09/2024
Last updated
08/18/2025
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