Individual provider · Type 1 NPI

Zachary Hartley-Blossom, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1225567902 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

  • 55 Fruit St, Boston, MA 02114-2621 · (617) 726-2000
  • 593 Eddy St, Providence, RI 02903-4923 · (401) 444-5174
  • 125 Metro Center Blvd, Warwick, RI 02886-1768 · (140) 192-1920

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD17244 (RI)
Diagnostic Radiology Physician 2085R0202X290918 (MA)
Surgery Physician 208600000XLP04037 (RI)
Diagnostic Radiology Physician Primary 2085R0202X4301508654 (MI)

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

246 other providers at this address

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About NPI 1225567902

Zachary Hartley-Blossom, MD's National Provider Identifier is 1225567902, issued on Jun 7, 2017. 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 Dec 18, 2023.