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Organization

MICHIGAN HEART LUNG AND VEIN SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL RICHARD MELDRUM MD (OWNER)
(616) 920-4282
Entity
Organization

Contact information

Practice address
2757 LEONARD NE, STE 200, GRAND RAPIDS, MI 49525-5807
(616) 954-2020
(616) 949-0408
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 954-2020
(616) 949-0408

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
4301102234
MI

Other

Enumeration date
01/22/2015
Last updated
01/22/2015
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