Organization
DONALD P CONDIT MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD PATRICK CONDIT M.D. (OWNER/PRESIDENT)
(616) 954-1442
Entity
Organization
Contact information
Practice address
1000 E PARIS AVE SE, SUITE 115, GRAND RAPIDS, MI 49546-3680
(616) 954-1442
(616) 954-1446
Mailing address
1000 E PARIS AVE SE, SUITE 115, GRAND RAPIDS, MI 49546-3680
(616) 954-1442
(616) 954-1446
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301404809
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004101221
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/16/2006
Last updated
06/18/2008
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