Organization
MARC D. MEISSNER , MD, CM, PLLC
Active
Organization
MARC D. MEISSNER , MD, CM, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC D. MEISSNER MD (OWNER)
(313) 966-1154
Entity
Organization
Contact information
Practice address
25270 SOUTHWOOD DR, SOUTHFIELD, MI 48075-2081
(248) 559-1942
Mailing address
25270 SOUTHWOOD DR, SOUTHFIELD, MI 48075-2081
(248) 559-1942
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301055452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4381344
—
MI
Enumeration date
04/12/2007
Last updated
05/15/2012
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