Provider Demographics
NPI:1982764163
Name:CUNNINGHAM, CURT JAMES (DO)
Entity type:Individual
Prefix:DR
First Name:CURT
Middle Name:JAMES
Last Name:CUNNINGHAM
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5060 CASCADE ROAD SE
Mailing Address - Street 2:SUITE D
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546
Mailing Address - Country:US
Mailing Address - Phone:616-454-2911
Mailing Address - Fax:616-454-1126
Practice Address - Street 1:5060 CASCADE RD SE
Practice Address - Street 2:SUITE D
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3808
Practice Address - Country:US
Practice Address - Phone:616-454-2911
Practice Address - Fax:616-454-1126
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2022-07-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI51010097812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MION28490Medicare ID - Type Unspecified