Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Christopher J Mianecki, DO

Individual provider Diagnostic Radiology Physician · NPI 1700099561

Dr. Christopher J Mianecki, DO is a Diagnostic Radiology in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 2005, 21 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group and accepts Medicare assignment. Licensed in Indiana and Michigan.

Years since qualifying
21
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
IN, MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 5101016517 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 02003830A (IN)

Record details

NPI number1700099561
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2005 (21 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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