Provider Demographics
NPI:1952351926
Name:DURKEE, DAVID G (OD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:G
Last Name:DURKEE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1124 S STATE ST
Mailing Address - Street 2:MCO 137D
Mailing Address - City:BIG RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49307-2256
Mailing Address - Country:US
Mailing Address - Phone:231-591-3845
Mailing Address - Fax:231-591-3551
Practice Address - Street 1:1124 S STATE ST
Practice Address - Street 2:
Practice Address - City:BIG RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49307-2256
Practice Address - Country:US
Practice Address - Phone:231-591-3845
Practice Address - Fax:231-591-3551
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901002803152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
T33054Medicare UPIN
T33054Medicare UPIN