Individual
MATTHEW STEWART MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(248) 880-1092
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(248) 880-1092
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101028165
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2021
Last updated
07/02/2024
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