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Organization

METROPOLITAN MEDICAL CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW WIETRZYKOWSKI MD (OWNER PRESIDENT)
(313) 875-9270
Entity
Organization

Contact information

Practice address
9230 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3731
(313) 875-9270
(313) 875-9420
Mailing address
9230 JOSEPH CAMPAU ST, HAMTRAMCK, MI 48212-3731
(313) 875-9270
(313) 875-9420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301063858
MI
2084N0400X
Neurology Physician
4301081423
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000001426
CAPE HEALTH PLAN
MI
01
022808
MIDWEST HEALTH PLAN
MI
05
104391529
MI
01
1108269932
BCBS OF MICHIGAN
MI
01
110H241220
BCBS GROUP
MI
01
151659
GREAT LAKES HEALTH CARE
MI
05
1922193960
MI
01
35949
HEALTH PLAN OF MICHIGAN
MI
01
5458769
AETNA
MI
01
C6560
MCARE
MI
01
DO5413
RAILROAD MEDICARE
MI
01
G76852
HAP
MI
Enumeration date
10/04/2006
Last updated
11/28/2018
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