Individual
DR. RYAN RICHARD KONWINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE # MC-046, DIAGNOSTIC RADIOLOGY RESIDENCY, GRAND RAPIDS, MI 49503-2560
(616) 391-9087
(616) 391-9124
Mailing address
3264 N EVERGREEN DR NE, DIAGNOSTIC RADIOLOGY RESIDENCY, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301097114
MI
Other
Enumeration date
07/16/2010
Last updated
06/13/2016
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