Search › Michigan › 207P00000X
Justin Staley, DO
NPI 1164044830 · on the registry since 2020 · sole proprietor
Practice
- Address
- 200 Jefferson Ave Se
Grand Rapids, MI 49503 - Phone
- (616) 685-5000
- Organisation at this address
- Hackley Hospital
Kent Radiology Pc
Mercy Health Saint Mary'S
Saint Mary'S Health Services
Saint Mary'S Health ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 335
Additional practice sites
- 1316 E 7th St, Auburn, IN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
390200000X - Licence states on file
- IN, MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan