Provider Demographics
NPI:1235711706
Name:POSTMA, DAVID
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:POSTMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2221 76TH ST SW
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-8523
Mailing Address - Country:US
Mailing Address - Phone:616-540-4870
Mailing Address - Fax:
Practice Address - Street 1:27483 DEQUINDRE RD STE 301
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-5715
Practice Address - Country:US
Practice Address - Phone:248-546-2600
Practice Address - Fax:248-546-2604
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-24
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program