Individual
MATTHEW STEPHEN LEFEVRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13924 WADAGA RD, BARAGA, MI 49908-9204
(906) 275-5100
Mailing address
1960 US HIGHWAY 41 S, MARQUETTE, MI 49855-9795
(906) 226-6531
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005864
MI
Other
Enumeration date
09/13/2010
Last updated
04/23/2022
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