Individual
DR. KEVIN JON PIEBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M., P.C.
Contact information
Practice address
3330 CENTRAL BLVD, HUDSONVILLE, MI 49426-1441
(616) 669-7525
(616) 669-9952
Mailing address
3330 CENTRAL BLVD, HUDSONVILLE, MI 49426-1441
(616) 669-7525
(616) 669-9952
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
001527
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693413
—
MI
Enumeration date
04/25/2006
Last updated
04/02/2012
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