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Individual

DAVID JOHN ESTEFAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1838 BALDWIN ST., JENISON, MI 49428
(616) 301-1702
(616) 301-1708
Mailing address
6044 SUNNINGDALE DR, HUDSONVILLE, MI 49426-8962
(616) 301-1702
(616) 301-1708

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007774
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
950G0620
BLUE CROSS BLUE SHIELD
MI
Enumeration date
05/23/2006
Last updated
01/16/2013
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