Individual
JOAN C. MATTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15344 CLUB COURSE DR, BATH, MI 48808-8797
(517) 641-4264
(517) 641-4683
Mailing address
15344 CLUB COURSE DR, BATH, MI 48808-8797
(517) 641-4264
(517) 641-4683
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
4301029816
MI
Other
Enumeration date
03/27/2006
Last updated
01/06/2010
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