Mead, Dale R

Mead, Dale R is an individual health care provider with primary practice located at 350 Lafayette Ave Se 4Th Floor, Grand Rapids MI 49503-4656. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mead, Dale R can be contacted via phone (616) 459-9404.

Contact Information

Primary practice address
350 Lafayette Ave Se 4Th Floor Grand Rapids MI 49503-4656
Phone: (616) 459-9404
Fax: (616) 233-1108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 4301043861 Michigan

Profile Details

NPI number 1518966530
LBN Legal business name Mead, Dale R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Mar 21st, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518966530 NPPES
Michigan MEDICAID 4188451

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