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Organization
GRAND RAPIDS HAND, PLC
Active
Organization
GRAND RAPIDS HAND, PLC
Active
Other names
Grand Rapids Hand Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILEE JANE MEAD M.D. (OWNER/PHYSICIAN)
(616) 363-9900
Entity
Organization
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 201, GRAND RAPIDS, MI 49525-7042
(616) 363-9900
Mailing address
1787 GRAND RIDGE CT NE, SUITE 201, GRAND RAPIDS, MI 49525-7042
(616) 363-9900
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
NULL
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
NULL
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
NULL
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
NULL
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
08/14/2008
Last updated
11/15/2010
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