Individual
LITON MECANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10047 CROSSROAD CT SE, CALEDONIA, MI 49316-7316
(616) 685-8450
(616) 458-3526
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301062209
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415760
—
MI
05
—
4155559
—
MI
05
—
4181728
—
MI
05
—
4186116
—
MI
05
—
4208447
—
MI
05
—
4212691
—
MI
05
—
4555004
—
MI
05
—
4749643
—
MI
05
—
4878346
—
MI
05
—
4879011
—
MI
Enumeration date
05/18/2006
Last updated
06/29/2009
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