Marchand-Mateyak, Jeannette

Marchand-Mateyak, Jeannette is an individual health care provider with primary practice located at 30061 Schoenherr Rd Suite A, Warren MI 48088-3133. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Marchand-Mateyak, Jeannette can be contacted via phone (586) 558-2111.

Contact Information

Primary practice address
30061 Schoenherr Rd Suite A Warren MI 48088-3133
Phone: (586) 558-2111
Fax: (586) 558-2169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X JM059776 Michigan

Profile Details

NPI number 1336242205
LBN Legal business name Marchand-Mateyak, Jeannette
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2006
Last updated Aug 8th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336242205 NPPES
Michigan MEDICAID 4332125

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