Individual provider · Type 1 NPI

Mary Elise Matichak, DPM

Student in an Organized Health Care Education/Training Program · Troy, MI

NPI number 1073207353 Active

Practice location

4751 Beach Rd
Troy, MI 48098-4133

Call (850) 503-1448 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073207353

Mary Elise Matichak, DPM's National Provider Identifier is 1073207353, issued on Jun 8, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Troy, MI. The record was last updated on Jun 8, 2023.