Individual provider · Type 1 NPI

Carol Mae M. Bosanko, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1447283957 Active

Practice location

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

Call (616) 363-7272 Map

Fax (616) 363-7290

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4301405974 (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 1447283957

Carol Mae M. Bosanko, MD's National Provider Identifier is 1447283957, issued on Jul 8, 2006. 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 Sep 28, 2010.