Individual
RICHARD MEEUWENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5098 LAKESHORE BLVD, NEWAYGO, MI 49337-9085
(231) 652-7680
Mailing address
5098 LAKESHORE BLVD, NEWAYGO, MI 49337-9085
(231) 652-7680
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101006559
MI
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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