Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARINA MATTA, PHYSICIAN ASSISTANT
Active Sole ProprietorMARINA MATTA, PHYSICIAN ASSISTANT is a Physician Assistant healthcare provider located in GROSSE POINTE FARMS, Michigan. NPI 1053953273 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GROSSE POINTE FARMS, MI
Registration Details
- NPI Number
- 1053953273
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 9, 2019 (6.8046903433473 yrs)
- Last Updated
- Feb 17, 2026
- Sole Proprietor
- Yes
Practice Information
- Address
-
17108 MACK AVE STE 108GROSSE POINTE FARMS, MI, 482306224Browse MI providers · Browse ZIP 48230
- Phone
- 3137232572
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GROSSE POINTE FARMS, MI
| Name | Credential | NPI |
|---|---|---|
| MS. DEBRA E EVOLA | P.A.-C. | 1457492761 |
| RALEIGH D ECKERT | PA, MSPH | 1487139929 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.