Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Mattis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104413087

John Mattis is a Student in an Organized Health Care Education/Training Program in Marquette, Michigan. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

921 Lee St
Marquette, MI 49855-3360
Phone: (906) 251-8509
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104413087
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 28, 2020
Last updated in NPPESDecember 28, 2020
Certification dateDecember 28, 2020
Mailing address921 Lee St, Marquette, MI 49855-3360

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