Individual
DR. DALE R MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 49503-4656
(616) 459-9404
(616) 233-1108
Mailing address
3565 MOMENTUM PL, CHICAGO, IL 60689-5335
(616) 459-9404
(616) 233-1108
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301043861
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4188451
—
MI
Enumeration date
07/20/2005
Last updated
03/21/2014
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