| A. Matulis, Md Inc | |
|
21225 Kelly Rd Suite 5 Eastpointe MI 48021-3100 | |
| (586) 772-8686 | |
| (586) 772-4877 |
| Full Name | A. Matulis, Md Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 21225 Kelly Rd, Eastpointe, Michigan |
| Authorized Official Name and Position | Anatole C. Matulis (PRESIDENT) |
| Authorized Official Contact | 3136400975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A. Matulis, Md Inc 21225 Kelly Rd Suite 5 Eastpointe MI 48021-3100 Ph: (586) 772-8686 | A. Matulis, Md Inc 21225 Kelly Rd Suite 5 Eastpointe MI 48021-3100 Ph: (586) 772-8686 |
| NPI Number | 1962739938 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 11/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962739938 | NPI | - | NPPES |
| 2920834 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301405406 (Michigan) | Primary |
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