Individual
DOUGLAS K TUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4100 LAKE DR SE, STE 305, GRAND RAPIDS, MI 49546
(616) 285-1377
(616) 285-1006
Mailing address
61 COMMERCE AVE SW, GRAND RAPIDS, MI 49503
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001502
MI
Other
Enumeration date
07/09/2006
Last updated
07/15/2009
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