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Organization

SPARTAN RADIOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. RITA WESTPHAL (BOARD MEMBER)
(616) 363-7339
Entity
Organization

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
06/12/2019
Last updated
01/30/2020
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