Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 4301059007 | MI |
N | 111NI0900X | Internist | 4301059007 | MI |
N | 207RG0300X | Geriatric Medicine | 4301059007 | MI |
Y | 207RH0002X | Hospice and Palliative Medicine | 4301059007 | MI |
NPI | 1184646515 |
---|---|
Provider Name | Jeanette Marie Meyer |
First Address | Kalamazoo, MI 49007-3830 |
Second Address | Kalamazoo, MI 49007-3830 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 17/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4859215 | (05) | MI |
F37806 | (02) | MI |