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MR. DAVID G VANDEBUNTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
616 MEIJER ST, CHARLOTTE, MI 48813-8457
(517) 541-5935
Mailing address
1206 RUNAWAY BAY DR APT 3B, LANSING, MI 48917-8743
(616) 717-2503

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009742
MI

Other

Enumeration date
11/06/2019
Last updated
01/21/2025
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