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DR. MARY ELISE MATICHAK DPM
NPI 1073207353
Student in an Organized Health Care Education/Training Program in Troy, MI

Active since June 08, 2023

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Elise Matichak Dpm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY ELISE MATICHAK DPM (NPI 1073207353) is an individual student in an organized health care education/training program in Troy, Michigan and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1073207353
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. MARY ELISE MATICHAKCredential: DPM
Location Address4751 BEACH RDTroy, MI 48098-4133
Mailing Address4751 Beach RdTroy, MI 48098-4133 · (850) 503-1448
Phone(850) 503-1448
Sole ProprietorYes
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1073207353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4751 BEACH RD, Troy, MI 48098
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Matichak's NPI number?

The NPI number for Mary Matichak is 1073207353. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Mary Matichak located?

Mary Matichak practices at 4751 Beach Rd, Troy, MI 48098. The listed phone number is (850) 503-1448.

What is Mary Matichak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Mary Matichak was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.