Individual
DAVID EIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 MICHIGAN ST NE, STE A721, GRAND RAPIDS, MI 49503-2560
(616) 974-4889
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601002042
MI
Other
Enumeration date
08/29/2006
Last updated
03/18/2026
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