Individual
MR. DAVID KEMUEL HIVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
Mailing address
150 BUCKLEY LN, BATTLE CREEK, MI 49015-7920
(269) 317-1677
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704212992
MI
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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