Individual
DR. MEGAN MARIE FAIRCLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
390 RIVER ST, MANISTEE, MI 49660-2731
(231) 723-3112
Mailing address
205 N GAYLORD AVE, LUDINGTON, MI 49431-1620
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901020939
MI
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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