Individual provider · NPI-1
Meghan Berry, DO
Pediatrics · Grand Rapids, MI
NPI number1649975350
StatusActive
Last updated in NPPESJul 5, 2026
Details
- NPI
- 1649975350
- Entity type
- Individual (NPI-1)
- Name
- Meghan Berry
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 3, 2023
- Certification date
- Jul 5, 2026
- Last updated
- Jul 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 5101029139 | MI | Yes |
| 2080H0002X | Pediatrics, Hospice and Palliative Medicine | 5101029139 | MI |
Practice location
275 Michigan St Ne Fl 8Grand Rapids, MI 49503-2531
Phone 616-391-8810
Mailing address
1500 E Medical Center DrAnn Arbor, MI 48109-5000
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