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Individual

KURT ALLEN LINDBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
382 N 120TH AVE, HOLLAND, MI 49424
(616) 396-6516
(616) 396-2513
Mailing address
382 N 120TH AVE, HOLLAND, MI 49424
(616) 396-6516
(616) 396-2513

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301073787
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0700138
BCBS
MI
05
4107201
MI
01
O80154579
RAILROAD MEDICARE
MI
Enumeration date
10/02/2006
Last updated
12/14/2009
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