Provider Demographics
NPI:1770522245
Name:STONE, DAVID M (DO)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:STONE
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Gender:M
Credentials:DO
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Mailing Address - Street 1:100 MICHIGAN ST NE
Mailing Address - Street 2:MC 845
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49503-2560
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3220 DISCOVERY DRIVE
Practice Address - Street 2:SUITE 210
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910-8556
Practice Address - Country:US
Practice Address - Phone:517-484-0004
Practice Address - Fax:517-484-7241
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2023-07-20
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Provider Licenses
StateLicense IDTaxonomies
MIDS51010145562080P0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0202XAllopathic & Osteopathic PhysiciansPediatricsPediatric Cardiology