Individual provider · Type 1 NPI
Christopher J. Mianecki, DO
Diagnostic Radiology Physician · Grand Rapids, MI
NPI number
1700099561
Active
Practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Fax (616) 361-5828
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 02003830A (IN) |
| Diagnostic Radiology Physician Primary | 2085R0202X | 5101016517 (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 1700099561
Christopher J. Mianecki, DO's National Provider Identifier is 1700099561, issued on May 8, 2007. 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 1, 2020.