Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MATTHEW CHARLES AXTMAN, DO
ActiveDR. MATTHEW CHARLES AXTMAN, DO is a Sports Medicine (PM&R) healthcare provider located in GRAND RAPIDS, Michigan. NPI 1255478988 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1255478988
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 31, 2007 (19.500388042653 yrs)
- Last Updated
- Nov 5, 2024
- Licenses
-
5101019792 (MI)5101019792 (MI)
Practice Information
- Address
-
2770 E BELTLINE AVE NEGRAND RAPIDS, MI, 495258614Browse MI providers · Browse ZIP 49525
- Phone
- 6162678860
- Fax
- 6162678442
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. JACOB H REISNER | D.O. | 1033503594 |
| KAYLE ELIZABETH NOBLE-TAYLOR | DO | 1699270454 |
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.