DR. PAUL JAY HUIZINGA DDS MD
Surgery Yellow Pages
Grandville, Michigan
Provider NPI: 1174516363
Provider Information:DR. PAUL JAY HUIZINGA DDS MD
Practice Location:
4330 44TH ST SW SUITE 106 GRANDVILLE, MI 49418 US
Tel: 616-530-4710 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 204E00000X | Physicians Oral & Maxillofacial Surgery | MI | 2901018332 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
4453238 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin