| Doctor Name: | STEPHEN J MATTICHAK |
| NPI Number: | 1013930189 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 4301079048 |
| Business Practice Address: | 3175 W. Professional Blvd Bay City, MI - 487062823 |
| Business Phone Number: | 9898943278 |
| Business Fax Number: | 9898918155 |
| Mailing Address: | 401 S. Ballenger Hwy, FLINT |
| State: | MI |
| Postal Code: | 485323638 |
| Phone Number: | 8103421000 |
| Fax Number: | 8103421591 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | 4301079048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |