Individual
DR. DAVID R ALFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 LYON ST NW, SUITE 700, GRAND RAPIDS, MI 49503-2208
(616) 451-4500
(616) 451-9077
Mailing address
220 LYON ST NW, SUITE 700, GRAND RAPIDS, MI 49503-2208
(616) 451-4500
(616) 451-9077
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301080202
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
4301080202
MI
Other
Enumeration date
04/16/2007
Last updated
11/20/2018
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