Matthew Kanelos, PA-C

NPI #1770990335 in Clio, Michigan

Provider Information

NPI Number: 1770990335
Entity Type: Individual
Name: Matthew Kanelos, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 16, 2014
Last Updated: Jul 16, 2014

Practice Location

Address: 11307 N LINDEN RD
Address 2: B
City: Clio
State: Michigan
ZIP Code: 48420
Phone: (810) 564-7995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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