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1629654413
MATTHEW DAVID ISHERWOOD
WEST BLOOMFIELD, MI
NPI
1629654413
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601010434)
Enumeration Date
2021-03-22
Last Update Date
2021-04-20
Business Address
Mr. MATTHEW DAVID ISHERWOOD PA-C
7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD, MI 48322-3616
Phone number: 248-865-7444
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Mailing Address
Mr. MATTHEW DAVID ISHERWOOD PA-C
1148 CONNIE AVE
MADISON HEIGHTS, MI 48071-2960
Phone number: 586-872-1221
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