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

Adnan Matta Md Pc is a General Practice Physician based in Warren, MI. Adnan Matta Md Pc practices in Warren, 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 4090 E 14 Mile Rd Ste 100, Warren, MI and can be reached out via phone at 586-838-4441 and via fax at 586-838-4641.

Location: 4090 E 14 Mile Rd Ste 100, Warren, MI, 48092-1196
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922265982
Provider Name
Adnan Matta Md Pc
Credential
Provider Entity Type
Organization
Address
4090 E 14 Mile Rd Ste 100, Warren, MI, 48092-1196
Phone Number
586-838-4441
Fax Number
586-838-4641
Provider Enumeration Date
05/19/2008
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
========= 01 MI COMMERCIAL
0206353551 01 MI BCBS
101701996 05 MI
institution
Provider Business Practice Location Address Details
Address
4090 E 14 Mile Rd Ste 100
City
Warren
State
Michigan
Zip
48092-1196
Phone Number
586-838-4441
Fax Number
586-838-4641
person
Provider Business Mailing Address Details
Address
4090 E 14 Mile Rd Ste 100
City
Warren
State
Michigan
Zip
48092-1196
Phone Number
586-838-4441
Fax Number
586-838-4641
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
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
208D00000X
License No.
4301034389 (Michigan)
Definition
Definition to come...
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