Individual
MEGAN MATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2543
(616) 391-1909
Mailing address
221 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2543
(616) 391-1909
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301102925
MI
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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