Whalio Doctors

NPI 1003895228

Jan L Mourelatos, MD

Practitioner Diagnostic Radiology Physician Grand Rapids, MI

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
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 4301052862 (MI)

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.