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Matthew Lake
NPI 1790326080 · on the registry since 2019
Practice
- Address
- 3601 E 11 Mile Rd
Warren, MI 48092 - Phone
- (303) 989-8169
- Organisation at this address
- Henry Ford Health System
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 326
Additional practice sites
- 8285 S Saginaw St Ste 7, Grand Blanc, MI
- 4900 Mercury Dr Ste D, Dearborn, MI
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-20
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