person
Mr. Michael Leroy Matteson, PAC
Surgical Physician Assistant in Carbondale, Illinois
NPI 1033386115

Michael Leroy Matteson is a Surgical Physician Assistant based in Indianapolis, IL and is specialized in Surgical. Michael Leroy Matteson practices in Carbondale, IL and has the professional credentials of PAC. The NPI Number for Michael Leroy Matteson is 1033386115 and holds a License No. 385000710 (Illinois).

The current practice location address for Michael Leroy Matteson is 305 W Jackson St, Carbondale, IL and can be reached out via phone at 618-536-2565 and via fax at 618-536-2835.

Location: 305 W Jackson St, Carbondale, IL, 46206-1105
person
Provider Profile Details
NPI Number
1033386115
Provider Name
Michael Leroy Matteson
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
305 W Jackson St, Carbondale, IL, 46206-1105
Phone Number
618-536-2565
Fax Number
618-536-2835
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
305 W Jackson St
City
State
Zip
62901-1474
Phone Number
618-536-2565
Fax Number
618-536-2835
person
Provider Business Mailing Address Details
Address
305 W Jackson St
City
State
Zip
62901-1474
Phone Number
618-536-2565
Fax Number
618-536-2835
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
385000710 (Illinois)
Definition
Definition to come...
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