Individual
DYLAN M MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1085 KENTWOOD ST NE, GRAND RAPIDS, MI 49505-4837
(616) 308-7915
Mailing address
1085 KENTWOOD ST NE, GRAND RAPIDS, MI 49505-4837
(616) 308-7915
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
M149864
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
4704310592
MI
Other
Enumeration date
12/25/2019
Last updated
10/15/2020
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