Individual
MEGAN GREMBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Mailing address
1740 E PARIS AVE SE, GRAND RAPIDS, MI 49546-6204
(616) 949-5600
(616) 949-6571
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
5601006890
MI
363A00000X
Physician Assistant
Primary
5601006890
MI
Other
Enumeration date
12/11/2013
Last updated
04/14/2022
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