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1346742160
BRIAN EDWARD MATZ
GRAND RAPIDS, MI
NPI
1346742160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5501012883)
Enumeration Date
2018-03-07
Last Update Date
2018-03-07
Business Address
BRIAN EDWARD MATZ MSPT
1401 CEDAR ST NE
GRAND RAPIDS, MI 49503-1375
Phone number: 616-486-3900
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Mailing Address
BRIAN EDWARD MATZ MSPT
5152 COPPERLEAF CT
HUDSONVILLE, MI 49426-8233
Phone number:
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