person
Wendy Thomas Brown, MD
Pediatric Radiology Physician in Grand Rapids, Michigan
NPI 1053398412

Wendy Thomas Brown is a Pediatric Radiology Physician based in Grand Rapids, MI and is specialized in Pediatric Radiology. Wendy Thomas Brown practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Wendy Thomas Brown is 1053398412 and holds a License No. 0101052989 (Michigan).

The current practice location address for Wendy Thomas Brown 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
1053398412
Provider Name
Wendy Thomas Brown
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
12/28/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10110018 01 VA OPTIMA HEALTH PLAN
10110018 01 VA SENTARA HEALTH PLAN
180AF 01 NC BCBSNC
1053398412 01 VA VA PREMIER HEALTH PLAN
1053398412 05 NC
1053398412 05 VA
1053398412 01 VA TRICARE PRIME NETWORK
P01206178 01 VA RAILROAD MEDICARE
139178 01 VA BCBSVA
5512875 01 VA AETNA HEALTHCARE
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
Pediatric Radiology
Taxonomy
License No.
4301501891 (Michigan)
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
0101052989 (Virginia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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