NPI 1003895228
Jan L Mourelatos, MD
Practice location
- Address
- 3264 N Evergreen Dr NE, Grand Rapids, MI 49525-9746
- Phone
- (616) 363-7272
- Fax
- (616) 361-5828
Registered specialties
Diagnostic Radiology Physician
Primary
Registry record
- NPI
- 1003895228
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 16 Jan 2006
- Record last updated
- 9 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.