Individual
MR. MOHAMMAD JAVAD POOSTIZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 CHERRY ST SE, STE 104, GRAND RAPIDS, MI 49503
(616) 685-8620
Mailing address
1900 44TH ST SE, KENTWOOD, MI 49508
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
4301104031
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/01/2009
Last updated
01/30/2014
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