Individual
DR. PRERANA ANAND MANOHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5043 CASCADE RD SE, GRAND RAPIDS, MI 49546-3724
(616) 719-5939
(616) 719-5933
Mailing address
5043 CASCADE RD SE, GRAND RAPIDS, MI 49546-3724
(616) 719-5939
(616) 719-5933
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301080691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4713480
—
MI
Enumeration date
11/03/2005
Last updated
03/05/2010
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