Individual
MEGHAN MICHELLE BISONET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 49503-2559
(616) 267-9150
(616) 267-1408
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6794
(616) 486-6702
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601005689
MI
Other
Enumeration date
02/05/2010
Last updated
03/04/2021
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