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

Mateusz Edison Conrado

Individual provider Physician Assistant · NPI 1710717202

Mateusz Edison Conrado is a Physician Assistant in Plymouth, Michigan. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

13188 Glasgow Ct
Plymouth, MI 48170-5241
Phone: (734) 560-0906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1710717202
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESAugust 7, 2024
Certification dateAugust 7, 2024
Mailing address13188 Glasgow Ct, Plymouth, MI 48170-5241

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