Individual
ANIKA RISDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 LAFAYETTE SE, SUITE 4000, GRAND RAPIDS, MI 49503
(616) 685-6922
(616) 685-5192
Mailing address
200 JEFFERSON SE, SUITE 305, GRAND RAPIDS, MI 49503
(616) 685-6922
(616) 685-5192
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351050955
MI
Other
Enumeration date
06/13/2023
Last updated
09/01/2023
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