Individual
DR. JOSEPH EDWARD MATUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1428 WAVERLY STREET, GRAND HAVEN, MI 49417
(616) 846-3860
(616) 846-2420
Mailing address
1428 WAVERLY STREET, GRAND HAVEN, MI 49417
(616) 846-3860
(616) 846-2420
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005144
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G05001
BCBS
—
05
—
1729155
—
MI
01
—
JM005144
PIN
—
Enumeration date
12/12/2006
Last updated
07/27/2010
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