Individual
DOUGLAS ESSENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1423 60TH ST SE, KENTWOOD, MI 49508-7065
(616) 455-3535
Mailing address
5877 GRANITE CT, MIDDLEVILLE, MI 49333-8264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501090550
MI
Other
Enumeration date
09/20/2006
Last updated
11/23/2007
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