NPI 1174516363

Paul Jay Huizinga, DDSMD

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Grandville, MI

Practice location

Address: 4330 44th St SW Suite 106, Grandville, MI 49418-2349
Phone: (616) 530-4710
Fax: (616) 530-0480
Mailing address: 3919 Piute Dr SW, Grandville, MI 49418-2474

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901018332 (MI)

Other Oral & Maxillofacial Surgery providers in Michigan →

Registry record

NPI: 1174516363
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Aug 2005
Record last updated: 24 Aug 2010

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.