IndividualActive
Antonino Matina
NPI 1730674458 · Medical Physician Assistant · Lapeer, MI
Provider details
- NPI number
- 1730674458
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 5601008715 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1031 Suncrest Dr
Lapeer, MI 48446-1136
Phone: (810) 664-4870
Approximate (ZIP-level) locationGet directions
Mailing address
1031 Suncrest Dr
Lapeer, MI 48446-1136
Registry dates
- Enumerated
- 2018-06-25
- Last updated
- 2019-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.