# GREGORY A. KULDANEK P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447596267
- **Authorized official:** GREGORY A. KULDANEK M.D. (PRESIDENT)
- **Authorized official phone:** (616) 822-1821

## Contact information

- **Practice address:** 2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
- **Practice address phone:** (616) 949-3000
- **Mailing address:** 185 MARYLAND AVE NE, GRAND RAPIDS, MI 49503-3935
- **Mailing address phone:** (616) 307-6060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301047564 | MI | Yes |

## Other

- **Enumeration date:** 12/26/2012
- **Last updated:** 12/26/2012