Individual
MEGAN CHRISTINA LATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6781
(616) 685-3064
Mailing address
PO BOX 3578, GRAND RAPIDS, MI 49501-3578
(616) 685-6781
(616) 685-3064
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601007649
MI
Other
Enumeration date
01/20/2016
Last updated
02/15/2016
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