JESSE R AMEZAGA MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1386683209- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3264 N EVERGREEN DR NE, GRAND RAPIDS, MI, 495259746
- Phone
- (616) 363-7272
- Fax
- (616) 361-5828
Specialties & Taxonomies
Radiology, Diagnostic Radiology
License: VA #0101278889
Radiology, Diagnostic Radiology
License: IN #01093995A
Radiology, Diagnostic Radiology
Primary License: MI #4301078261