Individual
MATTHEW PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(616) 249-0159
(833) 393-6789
Mailing address
311 STATE ST SE, GRAND RAPIDS, MI 49503-4312
(616) 249-0159
(833) 393-6789
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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