Healthcare Provider Details

I. General information

NPI: 1407318827
Provider Name (Legal Business Name): DARIA BRINZEVICH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2019
Last Update Date: 09/02/2025
Certification Date: 09/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 MICHIGAN ST NE STE 3100
GRAND RAPIDS MI
49503-2563
US

IV. Provider business mailing address

CLEVELAND CLINIC 9500 EUCLID AVENUE/NA-23
CLEVELAND OH
44195-0001
US

V. Phone/Fax

Practice location:
  • Phone: 616-954-9800
  • Fax:
Mailing address:
  • Phone: 216-444-2200
  • Fax: 216-445-6290

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301510425
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: