MATTHEW SAMUELS BASHAM

SAGINAW, MI
NPI1730719139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: MI  4704286451)
Enumeration Date2020-01-24
Last Update Date2023-04-17
Business Address
MATTHEW SAMUELS BASHAM NP-C
4760 FASHION SQUARE BLVD STE L-1
SAGINAW, MI 48604-2620
Phone number: 989-282-4003
Mailing Address
MATTHEW SAMUELS BASHAM NP-C
801 ROSEHILL RD
JACKSON, MI 49202-1762
Phone number: 517-212-2008
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