Individual
DAVID S DUFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1183 ENNESS DR, STANTON, MI 48888-9737
(616) 252-7200
(616) 252-7830
Mailing address
1183 ENNESS DR, STANTON, MI 48888-9737
(616) 202-8438
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101011149
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3554110904
GROUP #
MI
05
—
4639169
—
MI
01
—
5101011149
STATE LICENSE
MI
Enumeration date
02/02/2006
Last updated
04/06/2026
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