Individual
DR. KYLE MARK SONNABEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
2085R0204X
Vascular & Interventional Radiology Physician
125071275
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
5101027581
MI
Other
Enumeration date
06/14/2017
Last updated
07/31/2023
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