Individual
DR. ANAND MUKUND MANOHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
87 W PEARL ST, COLDWATER, MI 49036-1933
(517) 278-7122
(517) 279-4974
Mailing address
87 W PEARL ST, COLDWATER, MI 49036-1933
(517) 278-7122
(517) 279-4974
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4301033478
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0120844
BLUE SHIELD MICHIGAN
—
05
—
1398393
—
MI
Enumeration date
11/28/2007
Last updated
11/28/2007
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