Kristopher R Danielson, D.O.
Orthopaedic Surgery in Grand Rapids, MI. Individual provider (NPI-1).
NPI number1376957134
StatusActive
Last updated in NPPESJun 11, 2020
Details
- NPI
- 1376957134
- Entity type
- Individual (NPI-1)
- Name
- Kristopher R Danielson
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 19, 2014
- Certification date
- Jun 11, 2020
- Last updated
- Jun 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 5101025380 | MI | Yes |
| 207X00000X | Orthopaedic Surgery | 007833 | AZ |
Practice location
1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406
Phone 616-459-7101 · Fax 616-464-6170
Mailing address
1111 Leffingwell Ave NeGrand Rapids, MI 49525-6406
Phone 616-459-7101 · Fax 616-464-6170
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