Individual
RANDALL SCOTT MEISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 267-7414
(616) 267-7137
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
46309
WI
Other
Enumeration date
05/18/2006
Last updated
03/03/2021
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