Individual
MEAZAG GEBREAMLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 COUNTRY CLUB DR, GRAND RAPIDS, MI 49505
(616) 560-6364
Mailing address
1701 COUNTRY CLUB DR NE, GRAND RAPIDS, MI 49505-4808
(616) 560-6364
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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