Individual
DR. MARC DANIEL MEISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25270 SOUTHWOOD DR, SOUTHFIELD, MI 48075-2081
(248) 797-3143
Mailing address
25270 SOUTHWOOD DR, SOUTHFIELD, MI 48075-2081
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301055452
MI
207RC0000X
Cardiovascular Disease Physician
Primary
4301055452
MI
207RC0001X
Clinical Cardiac Electrophysiology Physician
4301055452
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4381344
—
MI
Enumeration date
11/30/2005
Last updated
10/08/2009
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