Moore, Matthew Gresser
Moore, Matthew Gresser is an individual health care provider with primary practice located at 7115 E. Michigan Ave Suite 200, Saline MI 48176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Matthew Gresser can be contacted via phone (734) 977-0013.Contact Information
Primary practice address
7115 E. Michigan Ave Suite 200
Saline MI 48176
Phone: (734) 977-0013
Fax: (734) 977-0169
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301074528 | Michigan |
Profile Details
| NPI number | 1437105640 |
|---|---|
| LBN Legal business name | Moore, Matthew Gresser |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2006 |
| Last updated | Jun 28th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437105640 | NPPES |
| Michigan | MEDICAID | 104522952 | |
| Michigan | MEDICAID | 104578475 | |
| Michigan | Other | 930124113 |
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