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Dr. Matthew Charles Axtman

Physical Medicine & Rehabilitation Doctor Sports Medicine

4100 Lake Dr Se Ste 300
Grand Rapids , Michigan 49546-8292

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Dr. Matthew Charles Axtman

Physical Medicine & Rehabilitation Doctor Sports Medicine

4100 Lake Dr Se Ste 300
Grand Rapids , Michigan 49546-8292

Write a Review Save Call

Dr. Matthew Charles Axtman

Physical Medicine & Rehabilitation Doctor Sports Medicine

4100 Lake Dr Se Ste 300
Grand Rapids , Michigan 49546-8292

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Physical Medicine & Rehabilitation Doctor
  • Sports Medicine

Languages spoken

  • English

Location

4100 Lake Dr Se Ste 300 Grand Rapids , Michigan 49546-8292

First Address

  • Dr. Matthew Charles Axtman
  • 100 Michigan St Ne Mc845
  • Grand Rapids, MI
  • Zip : 49503-2560
  • Phone :

Second Address

  • Dr. Matthew Charles Axtman
  • 4100 Lake Dr Se Ste 300
  • Grand Rapids, MI
  • Zip : 49546-8292
  • Fax : (616) 267-8442
  • Phone : (616) 267-8860

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FAQs


Where did Dr. Matthew Charles Axtman attend graduate school?

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Where did Dr. Matthew Charles Axtman do his residency?

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Where did Dr. Matthew Charles Axtman do his fellowship?

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Is Dr. Matthew Charles Axtman board certified?

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What type of doctor is Dr. Matthew Charles Axtman

Sports Medicine

In what state does Dr. Matthew Charles Axtman practice in?

Michigan

Where is Dr. Matthew Charles Axtman ’s practice located?

4100 Lake Dr Se Ste 300 , Grand Rapids, Michigan, 49546-8292

What is Dr. Matthew Charles Axtman ’s gender?

Male

Is Dr. Matthew Charles Axtman a sole practitioner?

No

Is Dr. Matthew Charles Axtman accepting new patients?

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What languages does Dr. Matthew Charles Axtman speak?

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Does Dr. Matthew Charles Axtman accept insurance?

Yes, Dr. Matthew Charles Axtman accepts insurance

Does Dr. Matthew Charles Axtman offers telemedicine?

Dr. Matthew Charles Axtman has not indicated if he offers telemedicine

What is Dr. Matthew Charles Axtman ’s professional license number?

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What is Dr. Matthew Charles Axtman ’s NPI number?

1255478988

Does Dr. Matthew Charles Axtman have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 208100000X Physical Medicine & Rehabilitation Doctor 5101019792 MI
Y 2081S0010X Sports Medicine 5101019792 MI
Y 213ES0000X Sports Medicine 5101019792 MI

National Provider Identifier

NPI 1255478988
Provider Name Dr. Matthew Charles Axtman
First Address Grand Rapids, MI 49503-2560
Second Address Grand Rapids, MI 49546-8292
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 31/01/2007
Last Update Date 10/03/2021

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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