Individual
DR. ANISH WADHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E MICHIGAN AVE STE 105, JACKSON, MI 49201-2490
(517) 782-3190
Mailing address
900 E MICHIGAN AVE STE 105, JACKSON, MI 49201-2490
(517) 782-3190
(517) 782-1223
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301093924
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301093924
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301093924
MI
Other
Enumeration date
05/22/2007
Last updated
06/29/2021
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