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1023338621
DAVID EDWIN KLUNGLE
GRAND RAPIDS, MI
NPI
1023338621
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MI 5601005719)
Enumeration Date
2010-06-04
Last Update Date
2021-02-26
Business Address
Mr. DAVID EDWIN KLUNGLE PA-C
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503-2560
Phone number: 616-391-3431
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Mailing Address
Mr. DAVID EDWIN KLUNGLE PA-C
100 MICHIGAN ST NE MC 845
GRAND RAPIDS, MI 49503-2560
Phone number:
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