David Jon Blystra Valid NPI
Individual provider · Family Medicine Physician · Holland, MI
- NPI
- 1508328014
- Type
- Individual (Type 1)
- Primary specialty
- Family Medicine Physician (Family Medicine)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 207Q00000X
- License number
- 4301506520 (MI)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2019-04-03
- Last updated
- 2022-08-09
Practice location
904 Washington Ave Ste 210
Holland, MI 49423-7724
(616) 392-8035