Individual
DR. LUCAS STANISLAV WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
(616) 391-3570
Mailing address
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4351051198
MI
Other
Enumeration date
04/04/2023
Last updated
06/23/2023
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