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1336551670
MATTHEW JOHN LAKE
ANN ARBOR, MI
NPI
1336551670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 4301104676)
Enumeration Date
2014-05-21
Last Update Date
2018-12-26
Business Address
MATTHEW JOHN LAKE MD
1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109-5048
Phone number: 734-936-4280
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Mailing Address
MATTHEW JOHN LAKE MD
3621 S STATE ST
ANN ARBOR, MI 48108-1633
Phone number: 734-647-5299
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