Individual
DR. RAJ NEALE HARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-7200
Mailing address
1925 BRETON RD SE, SUITE 202, GRAND RAPIDS, MI 49506-4810
(616) 252-4655
(616) 252-0103
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301088680
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301088680
STATE LICENSE
MI
Enumeration date
07/31/2006
Last updated
07/07/2010
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