Most Relevant Information
Provider Data
| NPI Number: | 1003455981 |
| Provider Name: | DYLAN M MEYER RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 163WC0200X |
| Specialty: | Registered Nurse |
| License Number: | M149864 |
Most Important Dates
| Enumeration Date: | 12/25/2019 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
1085 KENTWOOD ST NE
GRAND RAPIDS
MI
495054837
Practice Location Phone/Fax
| Phone: | 6163087915 |
| Fax: |
Provider Mailing Location
1085 KENTWOOD ST NE
GRAND RAPIDS
MI
495054837
Provider Mailing Phone/Fax
| Phone: | 6163087915 |
| Fax: |