Provider Demographics
NPI:1548373905
Name:MEURS, WILHELMUS ANTHONIUS (PT)
Entity type:Individual
Prefix:MR
First Name:WILHELMUS
Middle Name:ANTHONIUS
Last Name:MEURS
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2008 HOGBACK ROAD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9751
Mailing Address - Country:US
Mailing Address - Phone:734-971-9790
Mailing Address - Fax:734-971-1360
Practice Address - Street 1:2008 HOGBACK ROAD
Practice Address - Street 2:SUITE 3
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9751
Practice Address - Country:US
Practice Address - Phone:734-971-9790
Practice Address - Fax:734-971-1360
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501003304225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist