IndividualActive
Donald La Barge, M.D.
NPI 1861512261 · Neuroradiology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1861512261
- Entity type
- Individual
- Primary specialty
- Neuroradiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301080171 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Phone: (616) 363-7339
Fax: (616) 361-5828
Approximate (ZIP-level) locationGet directions
Mailing address
3264 N Evergreen Dr Ne
Grand Rapids, MI 49525-9746
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2020-01-24
- Certified
- 2020-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.