Matthew Charles Axtman in Grand Rapids - Sports Medicine
Matthew Charles Axtman - NPI 1255478988
Matthew Charles Axtman is a Sports Medicine in Grand Rapids, Michigan. Matthew Charles Axtman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Matthew Charles Axtman is 1255478988. The last update date is 2021-03-10.
Matthew Charles Axtman's current location address is 4100 Lake Dr Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162678860 and fax number 6162678442. The mailing address for Matthew Charles Axtman is 4100 Lake Dr Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Matthew Charles Axtman |
|---|---|
| Address | 4100 Lake Dr Se, Grand Rapids, Michigan |
| Phone Number | 6162678860 |
| Fax Number | 6162678442 |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1255478988 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2021-03-10 |
Provider Mailing Address Detail
| Address | 4100 Lake Dr Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4954682920 |
| Phone Number | 6162678860 |
| Fax Number | 6162678442 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 2081S0010X |
| Licence No | 5101019792 |
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Definition: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Matthew Charles Axtman by the Centers for Medicare & Medicaid Services?
The Matthew Charles Axtman has been assigned the NPI (National Provider Identifier) 1255478988 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Matthew Charles Axtman is physically located?
The Matthew Charles Axtman is physically situated at the following address: 4100 Lake Dr Se, Grand Rapids, MI, 4954682920.
What is Matthew Charles Axtman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Matthew Charles Axtman is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 2081S0010X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255478988 to Matthew Charles Axtman?
The Centers for Medicare & Medicaid Services assigned the 1255478988 to Matthew Charles Axtman on 2007-01-31.
As of what date was the information pertaining to Matthew Charles Axtman, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Matthew Charles Axtman, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-10.