Organization · Type 2 NPI
Grand Rapids Radiation Oncology PC
Therapeutic Radiology Physician · Grand Rapids, MI
NPI number
1679614424
Active
Practice location
250 Cherry
Grand Rapids, MI 49503
Fax (616) 774-8960
Mailing address
6935 Reliable Pkwy
Chicago, IL 60686-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Therapeutic Radiology Physician Primary | 2085R0203X | None listed |
Therapeutic Radiology Physician: Therapeutic Radiology certificate name was changed to Radiation Oncology. Use Radiation Oncology.
About NPI 1679614424
Grand Rapids Radiation Oncology PC's National Provider Identifier is 1679614424, issued on Feb 12, 2007. The primary taxonomy on file is Therapeutic Radiology Physician (2085R0203X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 12, 2007.