Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. David R Alfonso, MD

Individual provider Plastic Surgery Physician · NPI 1093930190

Dr. David R Alfonso, MD is a Plastic Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

220 Lyon St NW Ste 700
Grand Rapids, MI 49503-2208
Phone: (616) 451-4500
Fax: (616) 451-9077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 4301080202 (MI)
Plastic and Reconstructive Surgery Physician Taxonomy 2086S0122X · Licence 4301080202 (MI)

Record details

NPI number1093930190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 16, 2007
Last updated in NPPESNovember 20, 2018

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