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NPI Code Detail

MEDICARE: DR. CHRISTINE M MEYER M.D.

MEDICARE:  DR. CHRISTINE M MEYER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician4301050509MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710979257
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINE M MEYER M.D.
Provider Business Mailing Address
First Line : 6620 HIGHLAND ROAD
Second Line : SUITE 101
City : WATERFORD
State : MI
Zip : 48327-1582
Country : US
Telephone Number : 248-666-9332
Fax Number : 248-666-0340
Provider Business Practice Location Address
First Line : 6620 HIGHLAND RD
Second Line : SUITE 101
City : WATERFORD
State : MI
Zip : 48327-1582
Country : US
Telephone Number : 248-666-9332
Fax Number : 248-666-0340
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2005
Last Update Date : 01/21/2009

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Directions to “ DR. CHRISTINE M MEYER M.D.” Practice Location

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