MEDICARE: DR. MATHEW ALAN PAGE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	MP001981	MI

General Provider Information

NPI Number	:	1710002886
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATHEW ALAN PAGE DPM

Provider Business Mailing Address
First Line	:	2797 SPRING ARBOR ROAD
Second Line	:	SUITE A
City	:	JACKSON
State	:	MI
Zip	:	49203
Country	:	US
Telephone Number	:	517-784-0900
Fax Number	:	517-784-7835

Provider Business Practice Location Address
First Line	:	2797 SPRING ARBOR RD
Second Line	:	SUITE A
City	:	JACKSON
State	:	MI
Zip	:	49203-3605
Country	:	US
Telephone Number	:	517-784-0900
Fax Number	:	517-784-7835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	05/23/2026

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