Individual
PHILIP KUNNEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3872 MAYFIELD AVE NE APT 2I, GRAND RAPIDS, MI 49525-2393
(616) 304-5764
Mailing address
3872 MAYFIELD AVE NE APT 2I, GRAND RAPIDS, MI 49525-2393
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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