Individual
DR. MATTHEW T ALLSWEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 E MICHIGAN AVE, STE 445, LANSING, MI 48912-1800
(517) 364-5210
(517) 364-6216
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6204
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301054125
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1603308512
BCBS INDIVIDUAL PIN
MI
01
—
200000001117
PHP PIN #
MI
05
—
4076796
—
MI
Enumeration date
08/02/2006
Last updated
12/31/2007
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