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Individual

CAMILLE MEADOWS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA-C

Contact information

Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1872
MI
367H00000X
Anesthesiologist Assistant
67.000250
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
67.000250
OHIO LICENSE
OH
Enumeration date
06/17/2015
Last updated
04/11/2024
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