SearchMichigan163W00000X

Janese Mattern

NPI 1790942837 · on the registry since 2008

Practice

Address
401 Howard St
Kalamazoo, MI 49001
Phone
(269) 383-9055
Fax
(269) 383-9108
Organisation at this address
Victory Clinical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
49

Registry record

Primary taxonomy
163W00000X
163W00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-05-16

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