Individual
DR. JOHN GLENN ANEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 MICHIGAN ST NE, SUITE 3300, GRAND RAPIDS, MI 49503-2515
(616) 459-4171
(616) 459-0044
Mailing address
20952 E 12 MILE RD STE 200, SAINT CLAIR SHORES, MI 48081-3203
(586) 771-4820
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301053164
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4218695
—
MI
Enumeration date
09/25/2006
Last updated
01/30/2024
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