SearchMichigan171W00000X

Matthew Michels

NPI 1114863214 · on the registry since 2026 · sole proprietor

Practice

Address
15121 Kercheval Ave
Grosse Pointe Park, MI 48230
Phone
(313) 806-4952

Registry record

Primary taxonomy
171W00000X
171W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan