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Individual

MATTHEW LARS KUIPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3770 GLENKERRY CT, PORTAGE, MI 49024-0700
(269) 329-2887
(269) 329-2805
Mailing address
5555 GLENWOOD HILLS PKWY SE STE 2, GRAND RAPIDS, MI 49512-2091
(616) 940-2662
(616) 940-1965

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
5101014357
MI
208VP0014X
Interventional Pain Medicine Physician
Primary
5101014357
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2030338
PHYSICIANS HEALTH PLAN IB
01
2282530
FIRST HEALTH
01
247282202
UNITED HEALTH CARE
01
34418
HEALTH PLAN OF MICHIGAN
05
4630299-11
MI
05
4660396-11
MI
05
4660402-11
MI
01
553910515
BCBSM
MI
01
7193668
AETNA
01
P00209743
RAILROAD MEDICARE
Enumeration date
03/30/2006
Last updated
05/05/2021
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