Search › Michigan › 363A00000X
Matthew Matty, PA-C
NPI 1184181166 · on the registry since 2019
Practice
- Address
- 23832 Southfield Rd
Southfield, MI 48075 - Phone
- (248) 569-2600
- Organisation at this address
- Maxim Mri L.L.C.
Shree Radhekrishna Llc
Southfield City Urgent Care Pc
Hematology-Oncology Center Of MichiganInferred from a shared address, not stated in the registry. - Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-13
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