Individual
MATTHEW MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2750 BELLA VITA DR, HARTLAND, MI 48353-0139
(810) 379-1080
Mailing address
303 HANOVER LN, BRIGHTON, MI 48114-5013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301501546
MI
Other
Enumeration date
06/22/2017
Last updated
09/03/2025
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