Individual provider · Type 1 NPI

John Mattis

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

NPI number 1104413087 Active

Practice location

921 Lee St
Marquette, MI 49855-3360

Call (906) 251-8509 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 1104413087

John Mattis's National Provider Identifier is 1104413087, issued on Dec 28, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Marquette, MI. The record was last updated on Dec 28, 2020.