Individual
DAVID PASTOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4478 DOWLING ST, MONTAGUE, MI 49437-1201
(231) 894-4531
(231) 894-8158
Mailing address
5511 W US HIGHWAY 10, LUDINGTON, MI 49431-2455
(231) 843-1553
(231) 845-5515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301053688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5409154
—
MI
01
—
DP053688
LICENSE
MI
01
—
P00727292
RAIL ROAD MEDICARE
—
Enumeration date
05/25/2006
Last updated
06/25/2010
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