Individual
DR. MATTHEW W PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 MICHIGAN ST NE - SUITE 2200, LEMMEN-HOLTON CANCER PAVILION (RADIATION/ONCOLOGY), GRAND RAPIDS, MI 49503
(616) 486-5750
Mailing address
5648 LAWNDALE AVE, HUDSONVILLE, MI 49426-1002
(724) 462-8788
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
4301102359
MI
390200000X
Student in an Organized Health Care Education/Training Program
MT195917
PA
Other
Enumeration date
07/08/2009
Last updated
12/09/2025
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