PHILIP ALEXANDER MATAVERDE

PORTAGE, MI
NPI1992996458
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RS0012X Internal Medicine, Sleep Medicine
(Licence: MI  5101017269)
Additional Taxonomies2084N0400X Psychiatry & Neurology, Neurology
(Licence: MI  L1865858)
2084N0400X Psychiatry & Neurology, Neurology
(Licence: MO  2012020702)
2084S0012X Psychiatry & Neurology, Sleep Medicine
(Licence: MO  2012020702)
Enumeration Date2007-08-08
Last Update Date2023-11-27
Business Address
Dr. PHILIP ALEXANDER MATAVERDE D.O.
3200 W CENTRE AVE STE 203
PORTAGE, MI 49024-4889
Phone number: 269-349-9745
Mailing Address
Dr. PHILIP ALEXANDER MATAVERDE D.O.
3200 W CENTRE AVE STE 203
PORTAGE, MI 49024-4889
Phone number: