Individual provider · Type 1 NPI

Dante Mattioli, DO

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

NPI number 1295628485 Active

Practice location

19000 St Joes Pkwy Ste 310
Livonia, MI 48152-1477

Call (734) 743-4540 Map

Mailing address

6085 Mcguire Rd
Fenton, MI 48430-9082

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 1295628485

Dante Mattioli, DO's National Provider Identifier is 1295628485, issued on May 29, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Livonia, MI. The record was last updated on May 29, 2025.