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Individual

DR. DANIEL R DRUMM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 E PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546
(616) 459-3158
(616) 988-0071
Mailing address
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 988-0071

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301046218
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003991324
MI
01
23D0380481
CLIA EFF 07012007
MI
01
4301046218
MEDICAL LICENSE NUMBER
MI
Enumeration date
10/26/2006
Last updated
10/11/2022
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