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General NPI Number Information
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NPI Number | 1689317083
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Entity Type | Individual
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Provider Name | MATTHEW J ERBST DO
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Gender | Male
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Dates
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Enumeration Date | 04/14/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 1000 HARRINGTON ST
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-2920
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Country | US
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Telephone | 707-591-1265
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Fax |
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Provider Business Mailing Address
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Address Line | 23255 ALLIUM AVE
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City | MACOMB
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State | MI
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Zip | 48042-5831
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Country | US
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Telephone | 707-591-1265
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | MI
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