Individual
DR. JOHN WILLIAM COLFORD
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) 363-7272
(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
2085R0202X
Diagnostic Radiology Physician
Primary
4301513349
MI
2085R0202X
Diagnostic Radiology Physician
47400
MN
2085R0202X
Diagnostic Radiology Physician
ME 98928
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278707500
—
FL
01
—
AF126Z
MEDICARE
FL
Enumeration date
01/19/2007
Last updated
03/10/2025
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