Individual
DR. MEGAN DESHETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2249 WEALTHY ST SE STE 110, EAST GRAND RAPIDS, MI 49506
(616) 391-4600
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101021669
MI
Other
Enumeration date
06/22/2015
Last updated
03/02/2021
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