Organization
MATRIX MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER CUSMANO MD (EXECUTIVE DIRECTOR)
(586) 530-0133
Entity
Organization
Contact information
Practice address
52611 BLUERIDGE DR, SHELBY TWP, MI 48316-2977
(586) 530-0133
(586) 262-4158
Mailing address
52611 BLUERIDGE DR, SHELBY TWP, MI 48316-2977
(586) 530-0133
(586) 262-4158
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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