FREDERICK JAY KELLAWAY

HOLLAND, MI
NPI1679593982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301071423)
Enumeration Date2006-07-20
Last Update Date2007-07-12
Business Address
-- FREDERICK JAY KELLAWAY MD
602 MICHIGAN AVE
HOLLAND, MI 49423
Phone number: 616-392-5141
Mailing Address
-- FREDERICK JAY KELLAWAY MD
3264 N EVERGREEN DR NE STE 101
GRAND RAPIDS, MI 49525
Phone number: 616-363-7272