Moore, Matthew Gresser

Moore, Matthew Gresser is an individual health care provider with primary practice located at 7115 E. Michigan Ave Suite 200, Saline MI 48176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Moore, Matthew Gresser can be contacted via phone (734) 977-0013.

Contact Information

Primary practice address
7115 E. Michigan Ave Suite 200 Saline MI 48176
Phone: (734) 977-0013
Fax: (734) 977-0169
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301074528 Michigan

Profile Details

NPI number 1437105640
LBN Legal business name Moore, Matthew Gresser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 28th, 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 1437105640 NPPES
Michigan MEDICAID 104522952
Michigan MEDICAID 104578475
Michigan Other 930124113

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