Individual
MICHAEL LYN MATTERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
724 S NEW ST, DOVER, DE 19904-3540
(302) 734-3416
(302) 734-4960
Mailing address
640 S STATE ST, 742 BLDG, DOVER, DE 19901-3530
(302) 674-3970
(302) 672-2350
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
C1-0002009
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000130101
—
DE
Enumeration date
07/25/2006
Last updated
11/20/2012
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