Dr. Matthew W. Hedge M.D.
Emergency Medicine Physician in Detroit, MI(View on Map)
Full Name
Dr. Matthew W Hedge M.D.
NPI Number
1972562171
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/17/2006
Specialties
(Taxonomies)Name
Code
207P00000X
207PE0004X
207PT0002X
Primary Taxonomy
Yes
No
No
Licenses
State
Michigan
License Number
4301074981
Contact
Information
Purpose
Mailing
Location
Address
4201 SAINT ANTOINE ST
4201 SAINT ANTOINE ST
City
Detroit
Detroit
State
MI
MI
Postal Code
48201-2153
48201-2153
Country
US
US
Telephone Number
(313) 745-3040
(313) 745-3040
Identifiers
Identifier
104431114
MH074981
Identifier State
MI
MI
Identifier Issuer
Unknown
BC/BS OF MI
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/18/2010
Provider Address
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