Provider Demographics
NPI:1306906177
Name:JUNGE, DAVID ALLEN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:ALLEN
Last Name:JUNGE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4009 ORCHARD DRIVE
Mailing Address - Street 2:SUITE #3025
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6111
Mailing Address - Country:US
Mailing Address - Phone:989-631-7913
Mailing Address - Fax:989-631-5798
Practice Address - Street 1:4009 ORCHARD DRIVE
Practice Address - Street 2:SUITE #3025
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6111
Practice Address - Country:US
Practice Address - Phone:989-631-7913
Practice Address - Fax:989-631-5798
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI30319207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0560257OtherBLUE CROSS BLUE SHIELD
MI0560257Medicare ID - Type Unspecified
B43878Medicare UPIN