SearchMichigan1223S0112X

Matt Demerle

NPI 1285172213 · on the registry since 2017

Practice

Address
29425 Ryan Rd
Warren, MI 48092
Phone
(586) 755-9340

Registry record

Primary taxonomy
1223S0112X
1223S0112X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-08-22

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