Individual
MATTHEW PROUDFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
18181 OAKWOOD BLVD, SUITE 206, DEARBORN, MI 48124-5032
(313) 593-1573
Mailing address
1801 JASON CIR, ROCHESTER HILLS, MI 48306-3639
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101011974
MI
Other
Enumeration date
05/04/2006
Last updated
03/12/2008
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