Healthcare Provider Details

I. General information

NPI: 1962939041
Provider Name (Legal Business Name): DAVID R HUNTER DPM PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 MITCHELL PARK DR
PETOSKEY MI
49770-9600
US

IV. Provider business mailing address

2233 MITCHELL PARK DR
PETOSKEY MI
49770-9600
US

V. Phone/Fax

Practice location:
  • Phone: 231-347-3440
  • Fax: 231-347-4828
Mailing address:
  • Phone: 231-347-3440
  • Fax: 231-347-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: NANCY DUNCKEL
Title or Position: OFFICE MANAGER
Credential:
Phone: 231-347-3440