Individual
KENNETH WAYNE POST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 454-9960
(616) 454-9227
Mailing address
4069 LAKE DR SE, SUITE 117, GRAND RAPIDS, MI 49546-8816
(616) 267-7601
(616) 267-7200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301043909
MI
2086S0127X
Trauma Surgery Physician
4301043909
MI
2086S0129X
Vascular Surgery Physician
4301043909
MI
Other
Enumeration date
02/15/2006
Last updated
01/23/2012
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