Individual
DR. BRIAN DANIEL MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
128 W SPRUCE ST, SUITE 1, SAULT SAINTE MARIE, MI 49783-1959
(906) 635-9600
Mailing address
128 W SPRUCE ST, STE 1, SAULT SAINTE MARIE, MI 49783-1959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004583
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831401686
—
MI
Enumeration date
07/09/2010
Last updated
03/22/2016
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