Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 35-097016 | OH |
Y | 208000000X | Pediatrician | 4301101976 | MI |
N | 2080P0204X | Pediatric Emergency Doctor | 35-097016 | OH |
NPI | 1164685608 |
---|---|
Provider Name | Dr. Allison Lynn Rund |
First Address | Grand Rapids, MI 49503-2560 |
Second Address | Holland, MI 49424-2023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2008 |
Last Update Date | 23/02/2021 |