Individual
MR. JOHN BUDNICK SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3625 CLYDE PARK AVE SW, GRAND RAPIDS, MI 49509-4103
(616) 532-9299
(616) 831-9561
Mailing address
5790 S SHORE DR, WHITEHALL, MI 49461-9440
(231) 893-4200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101006556
MI
Other
Enumeration date
01/30/2007
Last updated
01/29/2013
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