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1174143788
MATTHEW MAZUR
DETROIT, MI
NPI
1174143788
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-23
Last Update Date
2020-04-23
Business Address
MATTHEW MAZUR MD
4201 SAINT ANTOINE ST # 9C
DETROIT, MI 48201-2153
Phone number: 313-966-8013
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Mailing Address
MATTHEW MAZUR MD
37 ROSLYN RD
GROSSE POINTE SHORES, MI 48236-1320
Phone number: 313-701-3209
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