Dr. Matthew J Wietrzykowski, MD
Internal Medicine in Hamtramck, MI. Individual provider (NPI-1).
NPI number1528040979
StatusActive
Last updated in NPPESJun 14, 2019
Details
- NPI
- 1528040979
- Entity type
- Individual (NPI-1)
- Name
- Dr. Matthew J Wietrzykowski
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 18, 2005
- Last updated
- Jun 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 4301063858 | MI | Yes |
Practice location
9230 Joseph Campau StHamtramck, MI 48212-3731
Phone 313-875-9270 · Fax 313-875-9420
Mailing address
9230 Joseph Campau StHamtramck, MI 48212-3731
Phone 313-875-9270 · Fax 313-875-9420
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