Joan C. Mattson, M.D.
Individual provider Active NPI Hematology (Pathology) Physician · Bath, MI
NPI 1740240100 · NPPES record last updated Jan 6, 2010
Key facts
- NPI
- 1740240100
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology (Pathology) Physician 207ZH0000X
- License
- 4301029816 (MI)
- Practice address
- 15344 Club Course Dr
Bath, MI 48808-8797 - Phone
- (517) 641-4264
- Fax
- (517) 641-4683
- NPI assigned
- Mar 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301029816 | MI | MD | Hematology (Pathology) Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Pathology) Physician | 207ZH0000X | 4301029816 | MI | Yes |
Addresses
Primary practice location
15344 Club Course Dr
Bath, MI 48808-8797
Mailing address
15344 Club Course Dr
Bath, MI 48808-8797
Phone (517) 641-4264
Other providers in Bath, MI
- Rebecca Chessney Jones-Henry
- Thomas Klein
- Robert Koehl
- Deja Lymon
- Lindsey Matsumoto
- Michael Andrew McDonald
- Lynn Anne Myers
- Next Generation Counseling PLLC
- Nguyen Family Dentistry PC
- Gretchen Paige
All providers in Bath, MI · Hematology (Pathology) Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.