A. Matulis, MD Inc

Organization Active NPI Neurology Physician · Eastpointe, MI

NPI 1962739938 · NPPES record last updated Nov 24, 2009

Key facts

NPI
1962739938
Entity type
Organization (NPI type 2)
Primary specialty
Neurology Physician 2084N0400X
License
4301405406 (MI)
Legal business name
A. MATULIS, MD INC
Practice address
21225 Kelly Rd
Suite 5
Eastpointe, MI 48021-3100
Phone
(586) 772-8686
Fax
(586) 772-4877
NPI assigned
Nov 11, 2009
Organization subpart
No

Authorized official

Name
Dr. Anatole C. Matulis, MD, PH.D
Title
President
Phone
(313) 640-0975

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
2084N0400X 4301405406 MI Yes

Addresses

Primary practice location

21225 Kelly Rd
Suite 5
Eastpointe, MI 48021-3100

Mailing address

21225 Kelly Rd
Suite 5
Eastpointe, MI 48021-3100
Phone (586) 772-8686

Other identifiers

IdentifierTypeStateIssuer
2920834MedicaidMI

Other providers in Eastpointe, MI

All providers in Eastpointe, MI · Neurology Physician in Michigan

Sources for this page

Verify at the official NPI Registry.