Organization
ENVISION RADIOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY L STUK (AUTHORIZED OFFICIAL)
(616) 847-5232
Entity
Organization
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 616-8475
Mailing address
PO BOX 5617, SAGINAW, MI 48603-0617
(616) 847-5232
(989) 401-4235
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
10/02/2007
Last updated
01/15/2019
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