Individual provider · Type 1 NPI
Jeremy David Mormol, MD
Diagnostic Radiology Physician · Grand Rapids, MI
NPI number
1174142285
Active
Practice location
3246 N Evergreen Dr NE
Grand Rapids, MI 49525
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 4351046796 (MI) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
2 other providers at this address
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- Joseph J. Junewick, MDDiagnostic Radiology Physician Grand Rapids, MI NPI 1013935626
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- Manish M. Kumar, MDDiagnostic Radiology Physician Grand Rapids, MI NPI 1033311782
About NPI 1174142285
Jeremy David Mormol, MD's National Provider Identifier is 1174142285, issued on Apr 9, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Grand Rapids, MI. The record was last updated on Jun 4, 2026.