Individual provider · Type 1 NPI

Marina Matta, PHYSICIAN ASSISTANT

Physician Assistant · Grosse Pointe Farms, MI

NPI number 1053953273 Active

Practice location

17108 Mack Ave Ste 108
Grosse Pointe Farms, MI 48230-6224

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

Other physician assistant providers in Grosse Pointe Farms

See all in Grosse Pointe Farms →

About NPI 1053953273

Marina Matta, PHYSICIAN ASSISTANT's National Provider Identifier is 1053953273, issued on Oct 9, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grosse Pointe Farms, MI. The record was last updated on Feb 17, 2026.