Individual
MATTHEW SEAN ELITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 WALL ST, ANN ARBOR, MI 48105-1912
(734) 764-4190
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2022002887
MO
207W00000X
Ophthalmology Physician
Primary
4301513988
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200085161
—
MO
Enumeration date
01/25/2020
Last updated
06/12/2025
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