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Melissa Matkovich
NPI 1689125197 · on the registry since 2016 · sole proprietor
Practice
- Address
- 13667 Eureka Rd
Southgate, MI 48195 - Phone
- (734) 530-6777
- Clinicians at this address
- 5
Additional practice sites
- 2051 W Grand Blvd, Detroit, MI
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan