Individual
DR. MARY MARTHA APPELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9756
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9756
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301041925
MI
207L00000X
Anesthesiology Physician
MD R5199
MO
207L00000X
Anesthesiology Physician
MD019780E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3514221
—
MI
Enumeration date
01/04/2006
Last updated
02/17/2010
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