SearchMichigan104100000X

Angela Dejonge Meraz

NPI 1841550985 · on the registry since 2012

Practice

Address
1939 Division Ave S
Grand Rapids, MI 49507
Phone
(616) 247-3815
Fax
(616) 245-0450
Organisation at this address
Family Outreach Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
108

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-05-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan