Individual
HEATHER BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3876 E PARIS AVE SE, GRAND RAPIDS, MI 49512-3974
(616) 301-8000
Mailing address
950 36TH ST SW, GRAND RAPIDS, MI 49509-3587
(616) 320-0405
(616) 320-0406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301076362
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4518771
—
MI
05
—
4518780
—
MI
05
—
4518790
—
MI
05
—
4518806
—
MI
05
—
4518815
—
MI
05
—
4518824
—
MI
05
—
4518833
—
MI
05
—
4518842
—
MI
05
—
4518851
—
MI
05
—
4518860
—
MI
05
—
4518898
—
MI
05
—
4518904
—
MI
05
—
4518913
—
MI
05
—
4518922
—
MI
05
—
4518931
—
MI
05
—
4876771
—
MI
Enumeration date
05/15/2006
Last updated
11/14/2023
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