Search › Michigan › Pediatrics Physician
Angela Mata, MD
NPI 1366623704 · on the registry since 2007
Practice
- Address
- 22201 Moross Rd Ste 270
Detroit, MI 48236 - Phone
- (313) 343-3481
- Fax
- (313) 343-7937
- Organisation at this address
- Eastside Neurosurgery Pc
St Clair Adult Medicine Pc
St. John Hospital Corporation
Henry Ford Semi Medical Group
St. John Hospital & Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 264
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Also registered as
- Pediatrics Physician
- Licence states on file
- MI, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-06-25
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