Individual
MR. ALAN MICHAEL MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
1551 N IL RT 3, WATERLOO, IL 62298
(618) 504-5008
(618) 504-5009
Mailing address
PO BOX 776084, CHICAGO, IL 60677-6084
(314) 364-7586
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.004538
IL
363A00000X
Physician Assistant
Primary
2024018875
MO
Other
Enumeration date
11/28/2012
Last updated
04/30/2025
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