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Individual

MIKE MEYER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2121 ROCKWELL DR, MIDLAND, MI 48642-9316
(989) 633-5372
Mailing address
28 W LINWOOD RD, LINWOOD, MI 48634-9783

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5502000782
MI

Other

Enumeration date
06/24/2010
Last updated
06/24/2010
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