Individual
DIEGO JOSE COVARRUBIAS
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) 363-7272
(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
2085N0700X
Neuroradiology Physician
0101287214
VA
2085N0700X
Neuroradiology Physician
Primary
326693
NY
2085N0700X
Neuroradiology Physician
4301504400
MI
2085N0700X
Neuroradiology Physician
61382258
WA
2085R0202X
Diagnostic Radiology Physician
24839
OR
2085R0202X
Diagnostic Radiology Physician
4301504400
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029091
—
OR
05
—
29091
—
OR
Enumeration date
05/12/2006
Last updated
05/07/2026
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