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Individual

DR. MATTHEW NEWBERG SONGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371
Mailing address
1414 W FAIR AVE, SUITE 190, MARQUETTE, MI 49855-2675
(906) 225-1321
(906) 228-9371

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301053852
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0E26013
BLUE CROSS BLUE SHIELD MI
MI
05
1949444
MI
Enumeration date
08/10/2006
Last updated
05/19/2011
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