MEDICARE: DR. MATTHEW TREVOR SINGH M.D.

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	207P00000X	Emergency Medicine Physician	4301102944	MI

General Provider Information

NPI Number	:	1942649462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MATTHEW TREVOR SINGH M.D.

Provider Business Mailing Address
First Line	:	4100 EMBASSY DR SE
Second Line	:	SUITE 400
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-988-8220
Fax Number	:

Provider Business Practice Location Address
First Line	:	4100 EMBASSY DR SE
Second Line	:	SUITE 400
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49546-2416
Country	:	US
Telephone Number	:	616-988-8220
Fax Number	:

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

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	06/21/2016

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