Kristopher Matelic, CRNA

NPI 1407243835 · on the registry since 2015

Practice

Address: 3990 John R St
Detroit, MI 48201
Phone: (313) 745-2000
Organisation at this address: Dmc
Walgreen Co
Crnas Of Michigan
Mahmud Zamlut Pllc
Qussai Salamah Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 396

Registry record

Primary taxonomy: 367500000X
367500000X
Also registered as: 163W00000X
367500000X
Licence states on file: MI, AK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-29

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