Individual
MRS. ISABELLE KIDER-MATATOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-3820
Mailing address
6777 WEST MAPLE ROAD, WST BLOOMFIELD, MI 48322-2641
(248) 325-3820
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5302037597
MI
Other
Enumeration date
02/11/2008
Last updated
04/24/2009
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