Provider Demographics
NPI:1346734654
Name:MEANS, OLIVIA CASSIE (MD)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:CASSIE
Last Name:MEANS
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Gender:F
Credentials:MD
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Mailing Address - Street 1:221 MICHIGAN ST NE STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2537
Mailing Address - Country:US
Mailing Address - Phone:616-391-1909
Mailing Address - Fax:616-391-8612
Practice Address - Street 1:330 BARCLAY AVE NE STE 104
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49503-2525
Practice Address - Country:US
Practice Address - Phone:616-391-6243
Practice Address - Fax:616-391-8612
Is Sole Proprietor?:No
Enumeration Date:2018-06-20
Last Update Date:2022-05-13
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Provider Licenses
StateLicense IDTaxonomies
MI4301115619208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery