SearchMichigan207RS0012X

Philip Mataverde, D.O

NPI 1992996458 · on the registry since 2007

Practice

Address
3200 W Centre Ave Ste 203
Portage, MI 49024
Phone
(269) 349-9745
Organisation at this address
Sleep Health
Water Walkers, Llc
Surgery Center Of Kalamazoo Llc
Apollo Medical Group Of Michigan Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Additional practice sites

  • 54 Hospital Dr Ste G, Osage Beach, MO

Registry record

Primary taxonomy
207RS0012X
207RS0012X
Also registered as
2084N0400X
2084N0400X
2084S0012X
Licence states on file
MI, MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-11-27

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