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Michael G Doherty, MD
Diagnostic Radiology Physician in Grand Rapids, Michigan
NPI 1730154261

Michael G Doherty is a Diagnostic Radiology Physician based in Grand Rapids, MI and is specialized in Diagnostic Radiology. Michael G Doherty practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Michael G Doherty is 1730154261 and holds a License No. 42856 (Michigan).

The current practice location address for Michael G Doherty is 3264 N Evergreen Dr Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7339 and via fax at 616-361-5828.

Location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730154261
Provider Name
Michael G Doherty
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3264 N Evergreen Dr Ne, Grand Rapids, MI, 49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
Provider Enumeration Date
02/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
604658400 05 MN
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Dr Ne
City
Grand Rapids
State
Michigan
Zip
49525-9746
Phone Number
616-363-7339
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301087295 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
4301087295 (Michigan)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Ultrasound
Taxonomy
2085U0001X
License No.
42856 (Minnesota)
Definition
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.
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