Individual provider · Type 1 NPI

Donald Vincent La Barge Iii, MD

Neuroradiology Physician · Grand Rapids, MI

NPI number 1861512261 Active

Practice location

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

Fax (616) 361-5828

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician 2085R0202X4301080171 (MI)
Neuroradiology Physician 2085N0700X6555396-1205 (UT)
Diagnostic Radiology Physician 2085R0202X6555396-1205 (UT)
Neuroradiology Physician Primary 2085N0700X4301080171 (MI)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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About NPI 1861512261

Donald Vincent La Barge Iii, MD's National Provider Identifier is 1861512261, issued on Mar 30, 2007. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 24, 2020.