Individual
MATTHEW JAMES HUBERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
14915 W MICHIGAN AVE, MARSHALL, MI 49068-8504
(269) 781-9863
Mailing address
10050 TUSCANY CT, PORTAGE, MI 49024-9117
(269) 548-6990
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005583
MI
Other
Enumeration date
12/16/2022
Last updated
12/16/2022
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