Individual
KYLE DONOVAN MEEUWSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-7900
(616) 267-7901
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011099
MI
Other
Enumeration date
04/02/2022
Last updated
12/10/2024
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