| Orlando Matias Do Pc | |
|
2104 Jolly Rd Suite 290 Okemos MI 48864-6043 | |
| (517) 220-4507 | |
| (517) 575-6869 |
| Full Name | Orlando Matias Do Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2104 Jolly Rd, Okemos, Michigan |
| Authorized Official Name and Position | Orlando O Matias (OWNER) |
| Authorized Official Contact | 5172204507 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orlando Matias Do Pc 2104 Jolly Rd Suite 290 Okemos MI 48864-6043 Ph: (517) 220-4507 | Orlando Matias Do Pc 2104 Jolly Rd Suite 290 Okemos MI 48864-6043 Ph: (517) 220-4507 |
| NPI Number | 1174707525 |
|---|---|
| Provider Enumeration Date | 12/20/2007 |
| Last Update Date | 02/14/2017 |
| Medicare PECOS PAC ID | 0941381248 |
|---|---|
| Medicare Enrollment ID | O20080111000745 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174707525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101014979 (Michigan) | Primary |
| Provider Name | Orlando O Matias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992773402 PECOS PAC ID: 7214826965 Enrollment ID: I20040311001194 |
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