Organization
G. C. MEYER, INC.
Active
Other names
Pediatric Orthotic Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDREW ROLEWICZ C.O. (PRESIDENT)
(616) 956-5556
Entity
Organization
Contact information
Practice address
781 KENMOOR AVE SE, SUITE A, GRAND RAPIDS, MI 49546-8628
(616) 956-5556
(616) 956-1990
Mailing address
1432 LAKESHORE DR, MUSKEGON, MI 49441-1682
(231) 759-9161
(231) 759-6492
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4254870
—
MI
01
—
510D116070
BLUE CROSS BLUE SHIELD MI
MI
Enumeration date
07/21/2006
Last updated
05/21/2023
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