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Individual

MATTHEW COLEMAN RAINEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
MD-13086
HI
2085R0204X
Vascular & Interventional Radiology Physician
14787
NV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
4301106519
MI

Other

Enumeration date
02/12/2007
Last updated
04/30/2015
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