MICHAEL KENNETH DISTLER

GRAND RAPIDS, MI
NPI1215193917
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MI  4301101693)
Enumeration Date2008-08-01
Last Update Date2023-05-22
Business Address
Dr. MICHAEL KENNETH DISTLER
1900 WEALTHY ST SE STE 300
GRAND RAPIDS, MI 49506-2969
Phone number: 616-774-8345
Mailing Address
Dr. MICHAEL KENNETH DISTLER
100 MICHIGAN ST NE MC845
GRAND RAPIDS, MI 49503-2560
Phone number:
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