Individual
MEGAN A TARATUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3210 EAGLE RUN DR NE, GRAND RAPIDS, MI 49525-7051
(616) 456-9553
(616) 454-5371
Mailing address
PO BOX 150036, GRAND RAPIDS, MI 49515-0036
(616) 456-9553
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
5601005477
MI
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/27/2009
Last updated
05/24/2024
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