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Matthew G Small

Debarred entity
TypePerson[sources]
NameMatthew G Small[sources]
Birth datenot available[sources]
Nationalitynot available[sources]
CountryUnited States[sources]
First nameMatthew[sources]
Last nameSmall[sources]
Middle nameG[sources]
NPI1336168871[sources]
SectorPhysician[sources]
AddressSouth Haven, MI[sources]
Last changeLast processedFirst seen

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Data sources

US Michigan Medicaid Sanctioned Provider List4,004

Providers who have been terminated for cause from Michigan's Medicaid program.

United States · MDHHS


Source data IDs: us-npi-1336168871 · us-medmi-ec15e925d5065238bf4f5a68353b868cf417625b

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