Individual provider · Type 1 NPI

Brett Justin Mollard, MD

Diagnostic Radiology Physician · Grand Rapids, MI

NPI number 1669796223 Active

Practice location

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

Call (616) 363-7272 Map

Fax (616) 361-5828

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202XMD60646257 (WA)
Diagnostic Radiology Physician Primary 2085R0202X4301098145 (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 1669796223

Brett Justin Mollard, MD's National Provider Identifier is 1669796223, issued on Mar 24, 2010. 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 Aug 1, 2022.