Organization
GRAND RAPIDS HAND, PLC
Active
Other names
Grand Rapids Hand Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARILEE JANE MEAD M.D. (OWNER/PHYSICIAN)
(616) 363-9900
Entity
Organization
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 201, GRAND RAPIDS, MI 49525-7042
(616) 363-9900
Mailing address
1787 GRAND RIDGE CT NE, SUITE 201, GRAND RAPIDS, MI 49525-7042
(616) 363-9900
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
208200000X
Plastic Surgery Physician
—
—
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI1034
MEDICARE GROUP PTAN
MI
Enumeration date
08/14/2008
Last updated
11/15/2010
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