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Contact Information

MEGAN J DUTCHER CISNEROS, DO
4100 EMBASSY DRIVE SE
SUITE 400
GRAND RAPIDS, MI49546
 Phone: 616-285-8075
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MEGAN J DUTCHER CISNEROS · (Female)

NPI # 1205215308
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/21/2015
Last updated 07/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101021687
Hospital affiliation(s)
  • MEMORIAL MEDICAL CENTER OF WEST MICHIGAN - (Acute Care)
    1 N ATKINSON DRIVE
    LUDINGTON, MI 49431
  • WEST SHORE MEDICAL CENTER - (Acute Care)
    1465 E PARKDALE AVE
    MANISTEE, MI 49660
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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