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1063645570
MATTHEW RYAN TOMMACK
FARMINGTON HILLS, MI
NPI
1063645570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology Diagnostic Radiology
(Licence: MI 5101018452)
Enumeration Date
2009-08-31
Last Update Date
2016-03-24
Business Address
MATTHEW RYAN TOMMACK D.O.
28050 GRAND RIVER AVE
FARMINGTON HILLS, MI 48336-5919
Phone number: 208-283-1949
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Mailing Address
MATTHEW RYAN TOMMACK D.O.
1350 NW DOMENICO DR
ROSEBURG, OR 97471-1891
Phone number: 208-283-1949
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