Individual
DAVID O KUTSCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1787 GRAND RIDGE CT NE, SUITE 101, GRAND RAPIDS, MI 49525
(616) 774-8131
(616) 774-8204
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301048845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080D17690
BLUE SHIELD
MI
05
—
2957057
—
MI
01
—
4554094
AETNA
MI
01
—
900000696
PRIORITY HEALTH
MI
Enumeration date
06/12/2006
Last updated
12/07/2017
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