Individual
MARK MELBY JUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
(616) 559-5864
Mailing address
300 68TH ST SE, GRAND RAPIDS, MI 49548-6927
(616) 456-0842
(616) 559-5864
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4351044604
MI
Other
Enumeration date
06/03/2019
Last updated
06/03/2019
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