Individual
DR. ANNE ELAINE MEEUWSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
12374 STAFFORD ST, RAVENNA, MI 49451-5104
(517) 896-8018
Mailing address
12374 STAFFORD ST, PO BOX 204, RAVENNA, MI 49451-5104
(517) 896-8018
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4104
ME
1223G0001X
General Practice Dentistry
Primary
2901020467
MI
Other
Enumeration date
06/09/2009
Last updated
08/18/2014
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