Individual
MR. DANIEL ALLEN MESAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
005462
GA
367H00000X
Anesthesiologist Assistant
Primary
909
MI
367H00000X
Anesthesiologist Assistant
AA000032
DC
Other
Enumeration date
10/07/2008
Last updated
02/15/2023
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