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DR. LARRY STANFORD MATTHEWS MD

Physicians Orthopaedic Surgery

Provider NPI: 1194986638

Provider Information:
DR. LARRY STANFORD MATTHEWS MD
Gender: M
Not Sole Proprietor

Practice Location:
1500 EAST MEDICAL CENTER DRIVE TAUBMAN CENTER 2912 ANN ARBOR, MI 48109-5328 US
Tel: 734-936-6636  Fax: 734-647-3125

Business Mailing Address:
1500 EAST MEDICAL CENTER DRIVE TAUBMAN CENTER 2912 ANN ARBOR, MI 48109-5328 US
Tel: 734-936-6636  Fax: 734-647-3125

NPI Information:
NPI: 1194986638
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207X00000XPhysicians
Orthopaedic Surgery
MI4301026169
N207XS0114XPhysicians
Orthopaedic Surgery
AZ30798

Other Provider Identifiers:

IssuerNumberStateType
1244726MI05



American Medical Association 2012 taxonomy code information

Code: 207X00000X

Type:

Classification:



Definition:



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