Individual
MAUREEN C MEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1185 US HIGHWAY 23 N, ALPENA, MI 49707-8004
(989) 356-4049
Mailing address
1035 W WASHINGTON AVE, ALPENA, MI 49707-2929
(989) 358-0673
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
4301060807
MI
207Q00000X
Family Medicine Physician
Primary
4301060807
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3486833
—
MI
01
—
930068267
RAILROAD MEDICARE
—
01
—
MM060807
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/20/2005
Last updated
02/23/2021
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