Individual
MATTHEW NICHOLAS PIETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3677 FORT ST, LINCOLN PARK, MI 48146-4116
(313) 524-0053
(313) 524-0057
Mailing address
725 N MONROE ST, MONROE, MI 48162-2936
(734) 242-2727
(734) 242-2745
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301507167
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2018
Last updated
02/08/2023
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