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1033558598
MEGAN MATER
GRAND RAPIDS, MI
NPI
1033558598
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: MI 4301102925)
Enumeration Date
2013-06-18
Last Update Date
2013-06-18
Business Address
-- MEGAN MATER M.D.
221 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2543
Phone number: 616-391-1909
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Mailing Address
-- MEGAN MATER M.D.
221 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2543
Phone number: 616-391-1909
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