Individual
GUILLERMO R SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7789
(616) 252-6939
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
210509
MA
2085R0203X
Therapeutic Radiology Physician
210509
MA
2085R0204X
Vascular & Interventional Radiology Physician
210509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167984
—
MA
05
—
D16078476
—
MI
Enumeration date
02/14/2006
Last updated
07/23/2018
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