Individual
DAVID ALAN GINNEBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43201 COMMONS DR, CLINTON TOWNSHIP, MI 48038-1110
(586) 228-0780
(586) 228-1809
Mailing address
338 MCMILLAN RD, GROSSE POINTE FARMS, MI 48236-3418
(313) 886-0214
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301046263
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2756630
—
MA
Enumeration date
08/21/2006
Last updated
11/13/2009
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