Organization
GREGORY A. KULDANEK P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A. KULDANEK M.D. (PRESIDENT)
(616) 822-1821
Entity
Organization
Contact information
Practice address
2320 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-5906
(616) 949-3000
Mailing address
185 MARYLAND AVE NE, GRAND RAPIDS, MI 49503-3935
(616) 307-6060
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301047564
MI
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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