Individual
TIANA EKHANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
2750 E BELTLINE AVE NE, GRAND RAPIDS, MI 49525-8614
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5101018736
MI
Other
Enumeration date
03/31/2010
Last updated
08/01/2016
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