OrganizationActive
Michigan Medical Patient Care
NPI 1891718813 · Radiology Clinic/Center · Grand Rapids, MI
Provider details
- NPI number
- 1891718813
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Michigan Medical Patient Care
- Organization subpart
- Yes
- Authorized official
- Pauline (polly) Krywanski, Cfo(616) 486-2253
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4100 Lake Dr Se
S-102
Grand Rapids, MI 49546-8292
Phone: (616) 974-4800
Approximate (ZIP-level) locationGet directions
Mailing address
4085 Burton St Se
Grand Rapids, MI 49546-2444
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2010-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.