Dr. Matthew Dominic Vitale, D.O.
Emergency Medicine in Mount Clemens, MI. Individual provider (NPI-1).
NPI number1184074155
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1184074155
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew Dominic Vitale
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2016
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101022649 | MI | Yes |
Practice location
1000 Harrington StMount Clemens, MI 48043-2920
Phone 586-493-8000
Mailing address
467 McKinley AveGrosse Pointe Farms, MI 48236-3241
Phone 586-690-0039
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All 64 Emergency Medicine Physician providers in Mount Clemens · All 1,029 providers in Mount Clemens
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