Provider Demographics
NPI:1043067192
Name:WRAY, MATTHEW E (DC)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:E
Last Name:WRAY
Suffix:
Gender:M
Credentials:DC
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Mailing Address - Street 1:9126 SOFTWATER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4265
Mailing Address - Country:US
Mailing Address - Phone:734-474-9168
Mailing Address - Fax:248-623-2049
Practice Address - Street 1:5855 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-3395
Practice Address - Country:US
Practice Address - Phone:248-599-7437
Practice Address - Fax:248-623-2049
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2301401524111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor