Organization
A. MATULIS, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANATOLE C. MATULIS MD, PH.D (PRESIDENT)
(313) 640-0975
Entity
Organization
Contact information
Practice address
21225 KELLY RD, SUITE 5, EASTPOINTE, MI 48021-3100
(586) 772-8686
(586) 772-4877
Mailing address
21225 KELLY RD, SUITE 5, EASTPOINTE, MI 48021-3100
(586) 772-8686
(586) 471-8837
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4301405406
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2920834
—
MI
Enumeration date
11/11/2009
Last updated
11/24/2009
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