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Individual

DR. DAVID SAM UNGAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.M

Contact information

Practice address
34435 GRAND RIVER AVE, FARMINGTON, MI 48335-3309
(248) 477-3301
(248) 478-2829
Mailing address
34435 GRAND RIVER AVE, FARMINGTON, MI 48335-3309
(248) 477-3301
(248) 478-2829

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DU001140
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891836243
GROUP NPI
MI
05
2842540
MI
01
480F318570
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/28/2005
Last updated
02/09/2015
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