Individual
JOHN METTLER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7272
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301107230
MI
2085B0100X
Body Imaging Physician
2020-00304
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301504434
MI
Other
Enumeration date
06/01/2015
Last updated
07/15/2021
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