Individual
DR. MEAGAN ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
235 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49503-5229
(616) 840-8000
Mailing address
235 WEALTHY ST SE STE 100, GRAND RAPIDS, MI 49503-5229
(616) 840-8000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
5101020715
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811336324
—
MI
Enumeration date
06/18/2013
Last updated
03/30/2021
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