Individual
ANDREW FUNSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1931
(231) 547-8630
Mailing address
14700 LAKE SHORE DR, CHARLEVOIX, MI 49720-1931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018205
MI
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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