Individual
DAVID ALSTON KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4940 VAN DYKE RD, BROWN CITY, MI 48416-9683
(810) 886-1564
Mailing address
4940 VAN DYKE RD, BROWN CITY, MI 48416-9683
(810) 886-1564
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008482
MI
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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