Individual provider · Type 1 NPI

Linda K. Ormond-Matlock, PA-C

Medical Physician Assistant · Grand Blanc, MI

NPI number 1356476212 Active

Practice location

3399 Pollock Rd
Grand Blanc, MI 48439-8393

Fax (810) 603-2370

Mailing address

2402 Jossman Rd
Holly, MI 48442-8205

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5601002154 (MI)

Medical Physician Assistant: Definition to come...

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About NPI 1356476212

Linda K. Ormond-Matlock, PA-C's National Provider Identifier is 1356476212, issued on Feb 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Grand Blanc, MI. The record was last updated on Oct 29, 2007.