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Individual

CAROLINE PLOWDEN DALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828
Mailing address
3264 N EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9746
(616) 363-7339
(616) 361-5828

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
33141
SC
2085R0202X
Diagnostic Radiology Physician
Primary
4301078427
MI
2085R0202X
Diagnostic Radiology Physician
D0064318
MD
2085R0203X
Therapeutic Radiology Physician
D0064318
MD
2085U0001X
Diagnostic Ultrasound Physician
D0064318
MD

Other

Enumeration date
05/19/2006
Last updated
08/05/2020
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