National Provider Identifier Database

MATTHEW W PACKARD, MD – NPI #1376772574
Radiation Oncology

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.


Contact Information

MATTHEW W PACKARD, MD
145 MICHIGAN ST NE - SUITE 2200
LEMMEN-HOLTON CANCER PAVILION (RADIATION/ONCOLOGY)
GRAND RAPIDS, MI49503
Phone: 616-486-5750
Fax:
Website:
Specialty Taxonomy Code
* Radiation Oncology 2085R0001X
Student in an Organized Health Care Education/Training Program 390200000X

* Indicates primary specialty

NPI Profile & details for MATTHEW W PACKARD

NPI Number 1376772574
Credentials MD
Entity Individual
Enumeration date 07/08/2009
Last updated 12/09/2025 - About 6 months ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301102359
  • PA License #: MT195917
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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