David R Alfonso in Grand Rapids - Plastic And Reconstructive Surgery
David R Alfonso - NPI 1093930190
David R Alfonso is a Plastic And Reconstructive Surgery in Grand Rapids, Michigan. David R Alfonso practices all healthcare services and medical treatments related to Plastic And Reconstructive 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 |
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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 |
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Provider Enumeration Date | 2007-04-16 |
Last Updated Date | 2018-11-20 |
Provider Mailing Address Detail
Address | 220 Lyon St Nw |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495032208 |
Phone Number | 6164514500 |
Fax Number | 6164519077 |
Provider's Primary Taxonomy Detail
Speciality | Plastic And Reconstructive Surgery |
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Taxonomy | 2086S0122X |
Licence No | 4301080202 |
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
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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 And Reconstructive Surgery, and the corresponding taxonomy code is 2086S0122X.
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.