Individual
MANISH PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1040 S WINTER ST, ADRIAN, MI 49221-3876
(517) 263-8905
Mailing address
4151 LAKE FOREST CT, ANN ARBOR, MI 48108-2769
(517) 263-8905
(517) 265-0829
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301079202
MI
2084P0805X
Geriatric Psychiatry Physician
4301079202
MI
Other
Enumeration date
07/10/2006
Last updated
02/20/2024
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