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Deidre Matthews
NPI 1568962876 · on the registry since 2018
Practice
- Address
- 21371 Ridgedale St
Oak Park, MI 48237 - Phone
- (248) 943-8733
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-03
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