Individual
DR. PHILLIP A RADUAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
2085N0700X
Neuroradiology Physician
2010-00344
NC
2085N0700X
Neuroradiology Physician
M6837
TX
2085R0202X
Diagnostic Radiology Physician
Primary
4301111326
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/14/2007
Last updated
07/21/2022
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