Individual
ELIZABETH MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1675 LEAHY ST, SUITE 428B, MUSKEGON, MI 49442-5500
(231) 672-3300
(231) 672-3380
Mailing address
PO BOX 1847, MUSKEGON, MI 49443-1847
(231) 727-4444
(231) 727-4451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4704178823
MI
363L00000X
Nurse Practitioner
Primary
4704178823
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4612399
—
MI
Enumeration date
07/27/2006
Last updated
08/10/2012
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