Individual
KENT MEASELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1138 OAKLAWN ST NE, GRAND RAPIDS, MI 49505-3754
(616) 940-0040
Mailing address
1138 OAKLAWN ST NE, GRAND RAPIDS, MI 49505-3754
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
38-2481067
MI
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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