person
Jan L Mourelatos, MD
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1003895228

Jan L Mourelatos is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Jan L Mourelatos practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Jan L Mourelatos is 1003895228 and holds a License No. 4301052862 (Michigan).

The current practice location address for Jan L Mourelatos is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7272 and via fax at 616-361-5828.

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
person
Provider Profile Details
NPI Number
1003895228
Provider Name
Jan L Mourelatos
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
Provider Enumeration Date
01/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1006439 01 MI MCLAREN HEALTH
3513322 05 MI
OH26188036 01 FED BLACK LUNG PROGRAM
351332210 01 MI PROCARE
P00222749 01 RR MEDICARE/PALMETTO GBA
0H26188 01 MI BCBS PROVIDER NUMBER
0Q26008040 01 FED BLACK LUNG PROGRAM
111785 01 MI GREAT LAKES HEALTH
0Q26008 01 MI BCBS PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
State
Zip
49525-9746
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4301052862 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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