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1942288493
MILES J MATTSON
MARQUETTE, MI
NPI
1942288493
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: MI 4301041253)
Enumeration Date
2006-01-05
Last Update Date
2009-04-21
Business Address
-- MILES J MATTSON M.D.
1414 W FAIR AVE SUITE 249
MARQUETTE, MI 49855-2675
Phone number: 906-225-7780
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Mailing Address
-- MILES J MATTSON M.D.
4602 DEPT
CAROL STREAM, IL 60122-0021
Phone number: 906-225-4821
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