Individual
MR. MICHAEL GEORGE DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
2144 EAST PARIS AVE SE, STE 100, GRAND RAPIDS, MI 49546
(616) 281-0666
(616) 281-0752
Mailing address
2144 E. PARIS AVE. SE, STE 100, GRAND RAPIDS, MI 49546
(616) 281-0666
(616) 281-0752
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901001218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1266510003
ADMINISTAR
MI
05
—
3506810
—
MI
01
—
480026386
RAILROAD MEDICARE
MI
Enumeration date
06/30/2006
Last updated
12/30/2021
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