David R Alfonso in Grand Rapids - Plastic Surgery

David R Alfonso - NPI 1093930190

David R Alfonso is a Plastic Surgery in Grand Rapids, Michigan. David R Alfonso practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for David R Alfonso is 1093930190. The last update date is 2018-11-20.

David R Alfonso's current location address is 220 Lyon St Nw, Grand Rapids, Michigan. You can contact this provider via phone number 6164514500 and fax number 6164519077. The mailing address for David R Alfonso is 220 Lyon St Nw, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name David R Alfonso
Address 220 Lyon St Nw, Grand Rapids, Michigan
Phone Number 6164514500
Fax Number 6164519077
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1093930190
Provider Enumeration Date 2007-04-16
Last Updated Date 2018-11-20

Provider Mailing Address Detail

Address 220 Lyon St Nw
City Grand Rapids
State Michigan (MI)
Post Code 495032208
Phone Number 6164514500
Fax Number 6164519077

Provider's Primary Taxonomy Detail

Speciality Plastic Surgery
Taxonomy 208200000X
Licence No 4301080202
Definition:
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c

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FAQs about David R Alfonso

What is the David R Alfonso's unique identification number?

The David R Alfonso has been assigned the NPI (National Provider Identifier) Number 1093930190 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where David R Alfonso is physically located?

The David R Alfonso is physically situated at the following address: 220 Lyon St Nw, Grand Rapids, MI, 495032208.

What is the David R Alfonso's specialty and taxonomy code?

The David R Alfonso's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1093930190 to David R Alfonso?

The David R Alfonso received its 1093930190 assignment from the Centers for Medicare & Medicaid Services on 2007-04-16.

When was the information regarding David R Alfonso, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to David R Alfonso, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-11-20.

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