ANJALI MODI MANDER

GRAND RAPIDS, MI
NPI1245594142
Former NameANJALI MODI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  4301101534)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MI  4301101534)
Enumeration Date2012-06-26
Last Update Date2018-08-06
Business Address
ANJALI MODI MANDER M.D.
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Phone number: 616-391-1609
Mailing Address
ANJALI MODI MANDER M.D.
3264 N EVERGREEN DR NE
GRAND RAPIDS, MI 49525-9746
Phone number: 616-363-7339