IndividualActive
David Matisoff, MD
NPI 1649263633 · Pediatric Cardiology Physician · Lansing, MI
Provider details
- NPI number
- 1649263633
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- DM040001 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3960 Patient Care Dr
Suite 113
Lansing, MI 48911-4275
Phone: (517) 484-0004
Fax: (517) 484-7241
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2005-08-25
- Last updated
- 2016-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.