Individual
MRS. SHARON LYNN MATKOSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2799 W GRAND BLVD # P5205, DETROIT, MI 48202-2689
(031) 328-3952
Mailing address
2799 W GRAND BLVD # P5205, DETROIT, MI 48202-2689
(313) 283-9529
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704120215
MI
Other
Enumeration date
10/13/2006
Last updated
02/17/2021
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