Individual provider · Type 1 NPI

Caneisaya Matthews, MD

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

NPI number 1558065862 Active

Practice location

3031 W Grand Blvd
Detroit, MI 48202-3046

Call (313) 916-1032 Map

Mailing address

1472 Bentley Cir
Fort Walton Beach, FL 32547-1975

Other practice locations

  • 720 Westview Dr SW, Atlanta, GA 30310-1458 · (404) 756-1383

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 1558065862

Caneisaya Matthews, MD's National Provider Identifier is 1558065862, issued on Mar 29, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 6, 2024.