Healthcare Provider Details

I. General information

NPI: 1164685608
Provider Name (Legal Business Name): ALLISON LYNN RUND MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ALLISON LYNN STERNER MD

II. Dates (important events)

Enumeration Date: 07/04/2008
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

588 E LAKEWOOD BLVD
HOLLAND MI
49424-2023
US

IV. Provider business mailing address

100 MICHIGAN ST NE MC 845
GRAND RAPIDS MI
49503-2560
US

V. Phone/Fax

Practice location:
  • Phone: 616-494-5840
  • Fax: 616-494-5901
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35-097016
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2080P0204X
TaxonomyPediatric Emergency Medicine (Pediatrics) Physician
License Number35-097016
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number4301101976
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: