NPI 1093930190
David R Alfonso, MD
Practice location
- Address
- 220 Lyon St NW Suite 700, Grand Rapids, MI 49503-2208
- Phone
- (616) 451-4500
- Fax
- (616) 451-9077
Registered specialties (2)
Plastic Surgery Physician
Primary
Plastic and Reconstructive Surgery Physician
Registry record
- NPI
- 1093930190
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 Apr 2007
- Record last updated
- 20 Nov 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.