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DR. ANNE ELAINE MEEUWSEN D.D.S.

>> Dentist >> Dental Providers

Registrant NPI Number: 1164658779

Individual Registrant:
DR. ANNE ELAINE MEEUWSEN D.D.S.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
12374 STAFFORD ST  RAVENNA, MI 49451-5104 US
Tel: 517-896-8018  Fax: --

Contact information for business:
12374 STAFFORD ST PO BOX 204 RAVENNA, MI 49451-5104 US
Tel: 517-896-8018  Fax: --

Registration Information:
NPI: 1164658779
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
ME4104
Y1223G0001XDental Providers
Dentist
MI2901020467

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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