Provider Demographics
NPI:1427037829
Name:WRIGHT, DAVID GENE (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GENE
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16577 FEWINS RD
Mailing Address - Street 2:
Mailing Address - City:INTERLOCHEN
Mailing Address - State:MI
Mailing Address - Zip Code:49643-9642
Mailing Address - Country:US
Mailing Address - Phone:231-499-4568
Mailing Address - Fax:
Practice Address - Street 1:7401 WALTON RD
Practice Address - Street 2:
Practice Address - City:KINGSLEY
Practice Address - State:MI
Practice Address - Zip Code:49649-8211
Practice Address - Country:US
Practice Address - Phone:231-263-5253
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-13
Last Update Date:2016-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101011231207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine