David Francis Lieuwen M.D.

NPI 1043214414 - Family Medicine - 207Q00000X

NPI Details
NPI 1043214414
Gender Male
Enumeration Date 06/13/2005
Last Updated 06/21/2016
Entity Type Individual
Active Over 12 years ago
Practice Location
1900 WEALTHY ST SE
STE 150
GRAND RAPIDS MI, 49506-2969, US
Phone (616) 459-3158
Fax (616) 742-1945
Business Location
1900 WEALTHY ST SE
STE 150
GRAND RAPIDS MI, 49506-2969, US
Phone (616) 459-3158
Fax (616) 459-4714
Toxanomy
Taxonomy Code 207Q00000X
License State Colorado
License Number 40601
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According to our database, Dr. David Francis Lieuwen M.D. NPI is 1043214414, taxonomy code is 207Q00000X and license number is 40601, license state is located at Colorado. David Francis Lieuwen M.D. physically located at 1900 Wealthy St Se, Grand Rapids MI, 49506-2969. NPI Number David Francis Lieuwen M.D. has the Individual type.

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1043214414 NPI number is provided on an as is basis without warranty of any kind. 1043214414 is maintained by the National Plan & Provider Enumeration System. The contents of David Francis Lieuwen M.D. are for informational purposes only.