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General NPI Number Information
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NPI Number | 1164414074
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Entity Type | Organization
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Legal Business Name | MICHAEL S MEININGER MD PC
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 11/16/2007
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Provider Practice Location Address
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Address Line | 1080 KIRTS BLVD SUITE 700
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City | TROY
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State | MI
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Zip | 48084-4881
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Country | US
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Telephone | 248-362-2300
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Fax | 248-362-5272
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Provider Business Mailing Address
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Address Line | 1080 KIRTS BLVD SUITE 700
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City | TROY
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State | MI
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Zip | 48084-4881
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Country | US
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Telephone | 248-362-2300
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Fax | 248-362-5272
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | MICHAEL SCOTT MEININGER
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Credential | MD
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Telephone | 248-362-2300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 039869
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | MM052764
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License Number State | MI
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