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Provider Information for 1306167606



DR. MATTHEW C MARTURANO ND

Gender: MALE

Individual NPI: 1306167606

Calendar   Last Updated:  2019-08-22
  Certification Date: 

Details

Name Value
NPI 1306167606
Enumeration Date 2010-06-21
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 24330 JOHN R RD # 232
HAZEL PARK, MI 48030-1112
United States

Phone: 313-413-8112 | Fax:
View Map External Link
Primary Practice Address 6833 AUBURN RD
UTICA, MI 48317-5213
United States

Phone: 888-222-6056 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 175F00000X - Naturopath WA 00001547