institution
Adnan Matta Md Pc
General Practice Physician in Dearborn, Michigan
NPI 1922265982

Adnan Matta Md Pc is a General Practice Physician based in Dearborn, MI. Adnan Matta Md Pc practices in Dearborn, MI. The NPI Number for Adnan Matta Md Pc is 1922265982 and holds a License No. 4301034389 (Michigan).

The current practice location address for Adnan Matta Md Pc is 835 Mason St Ste D140, Dearborn, MI and can be reached out via phone at 313-914-4703 and via fax at 313-438-0148.

Location: 835 Mason St Ste D140, Dearborn, MI, 48124-2256
institution
Provider Profile Details
NPI Number
1922265982
Provider Name
Adnan Matta Md Pc
Credential
Provider Entity Type
Organization
Address
835 Mason St Ste D140, Dearborn, MI, 48124-2256
Phone Number
313-914-4703
Fax Number
313-438-0148
Provider Enumeration Date
05/19/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101701996 05 MI
0206353551 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
835 Mason St Ste D140
City
State
Zip
48124-2256
Phone Number
313-914-4703
Fax Number
313-438-0148
person
Provider Business Mailing Address Details
Address
835 Mason St Ste D140
City
State
Zip
48124-2256
Phone Number
313-914-4703
Fax Number
313-438-0148
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
4301034389 (Michigan)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
4301034389 (Michigan)
Definition
Definition to come...
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