Mattichak, Stephen J

Mattichak, Stephen J is an individual health care provider with primary practice located at 2660 W Sugnet Rd , Midland MI 48640-2647. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Mattichak, Stephen J can be contacted via phone (989) 832-0900.

Contact Information

Primary practice address
2660 W Sugnet Rd Midland MI 48640-2647
Phone: (989) 832-0900
Fax: (989) 633-0349
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X DR.0059344 Colorado
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 35.132423 Ohio
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0059344 Colorado
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 35.132423 Ohio
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 4301079048 Michigan

Profile Details

NPI number 1013930189
LBN Legal business name Mattichak, Stephen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Apr 4th, 2023 - about 2 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 1013930189 NPPES
Ohio MEDICAID 0258031
Ohio MEDICAID 500778985
Ohio MEDICAID 4839590

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