Tommack, Matthew Ryan

Tommack, Matthew Ryan is an individual health care provider with primary practice located at 28050 Grand River Ave , Farmington Hills MI 48336-5919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Tommack, Matthew Ryan can be contacted via phone (208) 283-1949.

Contact Information

Primary practice address
28050 Grand River Ave Farmington Hills MI 48336-5919
Phone: (208) 283-1949
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101018452 Michigan

Profile Details

NPI number 1063645570
LBN Legal business name Tommack, Matthew Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2009
Last updated Mar 24th, 2016 - about 8 years ago

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.

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