Dr. Matthew Charles Axtman
Physical Medicine & Rehabilitation Doctor Sports Medicine
4100 Lake Dr Se Ste 300
Grand Rapids
, Michigan 49546-8292
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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About
Features
Specialties
- Physical Medicine & Rehabilitation Doctor
- Sports Medicine
Languages spoken
- English
Location
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
Reviews
FAQs
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Is Dr. Matthew Charles Axtman a sole practitioner?
Is Dr. Matthew Charles Axtman accepting new patients?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.