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Dr. Adnan H Matta, MD
Vascular Surgery Physician in Warren, Michigan
NPI 1841242815

Adnan H Matta is a Vascular Surgery Physician based in Warren, MI and is specialized in Vascular Surgery. Adnan H Matta practices in Warren, MI and has the professional credentials of MD. The NPI Number for Adnan H Matta is 1841242815 and holds a License No. AM034389 (Michigan).

The current practice location address for Adnan H Matta is 4090 E 14 Mile Rd Ste 100, Warren, MI and can be reached out via phone at 586-858-4111 and via fax at 586-858-4641.

Location: 4090 E 14 Mile Rd Ste 100, Warren, MI, 48092-1196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841242815
Provider Name
Adnan H Matta
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4090 E 14 Mile Rd Ste 100, Warren, MI, 48092-1196
Phone Number
586-858-4111
Fax Number
586-858-4641
Provider Enumeration Date
05/17/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
101701996 05 MI
0206353551 01 MI BCBS
382296393 01 MI COMMERCIAL
institution
Provider Business Practice Location Address Details
Address
4090 E 14 Mile Rd Ste 100
City
Warren
State
Michigan
Zip
48092-1196
Phone Number
586-858-4111
Fax Number
586-858-4641
person
Provider Business Mailing Address Details
Address
4090 E 14 Mile Rd Ste 100
City
Warren
State
Michigan
Zip
48092-1196
Phone Number
586-858-4111
Fax Number
586-858-4641
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
AM034389 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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