Individual
DAVID JOHN AHONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Mailing address
325 E H ST, IRON MOUNTAIN, MI 49801-4760
(906) 774-3300
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704272410
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704272410
RN NURSE PRACTITIONER SPECIALTY CERTIFICATION
MI
Enumeration date
03/17/2019
Last updated
12/23/2019
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