Individual
MEGHAN MAREA BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
GRAND VALLEY STATE UNIVERSITY, 1 CAMPUS DR, ALLENDALE, MI 49401
(616) 331-2859
(616) 331-3232
Mailing address
3194 RIVERVIEW DR NW, GRAND RAPIDS, MI 49544-8544
(515) 451-9012
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
MI
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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