Individual provider · Type 1 NPI

Gregory Michael Mlacker, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1205219904 Active

Practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Call (616) 363-7272 Map

Fax (616) 361-5828

Other practice locations

  • 505 Parnassus Ave, San Francisco, CA 94143-2204 · (415) 353-1821
  • 44405 Woodward Ave, Pontiac, MI 48341-5023 · (248) 858-6233

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XA166901 (CA)
Internal Medicine Physician 207R00000XL801239 (MI)
Diagnostic Radiology Physician Primary 2085R0202X4301504388 (MI)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1205219904

Gregory Michael Mlacker, MD's National Provider Identifier is 1205219904, issued on Jun 30, 2015. 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 Jul 15, 2021.