Kent Radiology PC
NPI #1760416960 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1760416960
- Entity Type
- Organization
- Organization Name
- Kent Radiology PC
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Sep 10, 2019
Practice Location
- Address
- 200 JEFFERSON AVE SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503
- Phone
- (616) 364-6700
Authorized Official
- Name
- MICHAEL L PACIOREK, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (616) 685-5907
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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