| Matt Ptaszkiewicz MD PC | |
|
19787 Mack Ave Grosse Pointe Woods MI 48236-2503 | |
| (313) 881-2666 | |
| (313) 882-7596 |
| Full Name | Matt Ptaszkiewicz MD PC |
|---|---|
| Speciality | Family Medicine |
| Location | 19787 Mack Ave, Grosse Pointe Woods, Michigan |
| Authorized Official Name and Position | Matt Ptaszkiewicz (OWNER) |
| Authorized Official Contact | 3138812666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Ptaszkiewicz MD PC 19787 Mack Ave Grosse Pointe Woods MI 48236-2503 Ph: (313) 881-2666 | Matt Ptaszkiewicz MD PC 19787 Mack Ave Grosse Pointe Woods MI 48236-2503 Ph: (313) 881-2666 |
| NPI Number | 1457537086 |
|---|---|
| Provider Enumeration Date | 01/14/2008 |
| Last Update Date | 01/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457537086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301074851 (Michigan) | Primary |
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