Individual
MATTHEW RICHARD LUTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
7685 S BROCKWAY, YALE, MI 85715-3475
(810) 387-3205
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5282
AZ
363A00000X
Physician Assistant
Primary
5601006196
MI
Other
Enumeration date
01/13/2012
Last updated
05/31/2023
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