Provider Demographics
NPI:1871585174
Name:MEEKER, MARGARET J (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:J
Last Name:MEEKER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 W FRONT ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-7759
Mailing Address - Country:US
Mailing Address - Phone:231-935-0614
Mailing Address - Fax:231-935-0832
Practice Address - Street 1:3643 W FRONT ST
Practice Address - Street 2:SUITE C
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684-7759
Practice Address - Country:US
Practice Address - Phone:231-935-0614
Practice Address - Fax:231-935-0832
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301059779208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0N97750Medicare ID - Type Unspecified
MIF31043Medicare UPIN