Organization
VAJENDRA J DESAI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM SWISHER (BILLING)
(616) 235-2090
Entity
Organization
Contact information
Practice address
3321 BUCKHAVEN DR SE, ADA, MI 49301-9377
(616) 235-2090
(616) 235-2099
Mailing address
PO BOX 120125, GRAND RAPIDS, MI 49528-0103
(616) 235-2090
(616) 235-2099
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301037172
MI
Other
Enumeration date
11/21/2008
Last updated
11/21/2008
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