Individual
TARIQ FARIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3330 CLAYSTONE ST SE, GRAND RAPIDS, MI 49546-7716
(616) 942-8060
(616) 942-6690
Mailing address
PO BOX 30516 DEPT 6000A, LANSING, MI 48909-8016
(616) 942-8060
(616) 942-6690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301039030
MI
Other
Enumeration date
02/02/2006
Last updated
07/09/2007
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