Individual
DONALD W PACKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(734) 476-9916
Mailing address
6240 RYAN VALLEY DR NE, BELMONT, MI 49306-8001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501011408
MI
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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