Individual
DR. FAROUQ MANJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
25 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503-2526
(616) 516-4392
(616) 391-3130
Mailing address
25 MICHIGAN ST NE STE 2200, GRAND RAPIDS, MI 49503-2526
(616) 516-4392
(616) 391-3130
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
4301110973
MI
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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