Individual
DR. J. PATRICK DUIVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 956-6700
(616) 956-6773
Mailing address
4133 EMBASSY DR SE, GRAND RAPIDS, MI 49546-2418
(616) 956-6700
(616) 956-6773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002423
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD14566
BCBSM
MI
Enumeration date
10/20/2006
Last updated
07/08/2007
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