| Matrix Medical PLLC | |
|
52611 Blueridge Dr Shelby Twp MI 48316-2977 | |
| (586) 530-0133 | |
| (586) 262-4158 |
| Full Name | Matrix Medical PLLC |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 52611 Blueridge Dr, Shelby Twp, Michigan |
| Authorized Official Name and Position | Alexander Cusmano (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5865300133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matrix Medical PLLC 52611 Blueridge Dr Shelby Twp MI 48316-2977 Ph: (586) 530-0133 | Matrix Medical PLLC 52611 Blueridge Dr Shelby Twp MI 48316-2977 Ph: (586) 530-0133 |
| NPI Number | 1801371315 |
|---|---|
| Provider Enumeration Date | 10/01/2018 |
| Last Update Date | 10/01/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801371315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (NU) | Primary |
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