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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. MATTHEW DAVID ISHERWOOD I, PA-C

Active

MR. MATTHEW DAVID ISHERWOOD I, PA-C is a Physician Assistant healthcare provider located in WEST BLOOMFIELD, Michigan. NPI 1629654413 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WEST BLOOMFIELD, MI

Registration Details

NPI Number
1629654413
Provider Type
Individual
Gender
Male
NPI Issued
Mar 22, 2021 (5.3820911655922 yrs)
Last Updated
Apr 20, 2021
License
5601010434 (MI)

Practice Information

Address
7125 ORCHARD LAKE RD STE 100
WEST BLOOMFIELD, MI, 483223616
Browse MI providers · Browse ZIP 48322
Phone
2488657444
Fax
7346672579
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WEST BLOOMFIELD, MI

Name Credential NPI
JODI E LENNOX PA-C 1407826191
MARIE STOCKDALE PA 1134197106
MRS. LEEAH R SLOAN P.A. 1164458881
BRETT F KUHLMANN PAC 1376570531
MRS. JENNIFER LYNN O'NEILL PA-C 1295825347
ROBERT QUIBLAN ARELLANO 1891885315
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.