Organization Name: | DR STEVEN M MATLEN PC |
NPI Number: | 1164693735 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVEN M MATLEN (PODIATRIST) |
Mailing Address: | 139 W 14 Mile Rd Clawson |
State: | MI US |
Postal Code: | 480171965 |
Phone Number: | 2484353668 |
Fax Number: | 2484353673 |
NPI Enumeration Date: | 03/21/2008 |
NPI Last Update Date: | 06/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 5901000994 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |