Individual
DR. FREDERICK GERALD MEOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13355 E 10 MILE RD, RADIOLOGY DEPARTMENT DR. MEOLI, WARREN, MI 48089-2048
(586) 759-7300
Mailing address
49277 FOX DR S, PLYMOUTH, MI 48170-2898
(734) 207-1814
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5101015875
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
4766626
—
MI
Enumeration date
03/24/2006
Last updated
11/16/2007
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