Provider Demographics
NPI:1316104003
Name:DAVID A. JUNGE, M.D., P.C.
Entity type:Organization
Organization Name:DAVID A. JUNGE, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:JUNGE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:989-631-7913
Mailing Address - Street 1:4009 ORCHARD DR
Mailing Address - Street 2:SUITE 3025
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-6122
Mailing Address - Country:US
Mailing Address - Phone:989-631-7913
Mailing Address - Fax:989-631-5798
Practice Address - Street 1:4009 ORCHARD DR
Practice Address - Street 2:SUITE 3025
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-6122
Practice Address - Country:US
Practice Address - Phone:989-631-7913
Practice Address - Fax:989-631-5798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2009-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI30319261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1605602570OtherBCBSM
MI0560257Medicare PIN
MI1605602570OtherBCBSM