Individual
JOHN MEULENDYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1983 KEMP RD, BLOOMFIELD, MI 48302
(248) 335-3134
Mailing address
1983 KEMP RD, BLOOMFIELD, MI 48302-0142
(248) 335-3134
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
5101007821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4802974
—
MI
01
—
5101007821
CONTROLLED SUBSTANCE
—
Enumeration date
07/15/2006
Last updated
03/07/2023
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