Individual
MEGAN ANN DEMAAGD-RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505-5092
(616) 336-8800
Mailing address
256 PROSPECT AVE SE APT 2, GRAND RAPIDS, MI 49503-4619
(616) 566-3235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704308193
MI
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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