David R Pennes in Grand Rapids - Diagnostic Radiology

David R Pennes - NPI 1235158171

David R Pennes is a Diagnostic Radiology in Grand Rapids, Michigan. David R Pennes practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for David R Pennes is 1235158171. The last update date is 2007-07-08.

David R Pennes's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637272 and fax number 6163637290. The mailing address for David R Pennes is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name David R Pennes
Address 3264 N Evergreen Dr Ne, Grand Rapids, Michigan
Phone Number 6163637272
Fax Number 6163637290
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1235158171
Provider Enumeration Date 2006-07-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3264 N Evergreen Dr Ne
City Grand Rapids
State Michigan (MI)
Post Code 495259746
Phone Number 6163637272
Fax Number 6163637290

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No 4301042475
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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FAQs about David R Pennes

What is the David R Pennes's 1235158171?

The David R Pennes's NPI (National Provider Identifier) Number is 1235158171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where David R Pennes's facilities are geographically located?

The facilities of David R Pennes are physically situated at the following location: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 495259746.

What is the David R Pennes's area of specialization and corresponding taxonomy classification?

The David R Pennes's specialty field is Diagnostic Radiology, and it falls under the taxonomy code 2085R0202X, which categorizes healthcare providers based on their specialties.

On what date did the David R Pennes receive the assignment of its 1235158171 from the Centers for Medicare & Medicaid Services?

The David R Pennes was issued its 1235158171 by the Centers for Medicare & Medicaid Services on 2006-07-19.

As of what date was the information pertaining to David R Pennes, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to David R Pennes, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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