Individual
DR. TEJINDER S. MANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
709 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3565
(616) 754-9146
(616) 754-9152
Mailing address
709 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3565
(616) 754-9146
(616) 754-9152
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301058656
MI
207RI0011X
Interventional Cardiology Physician
4301058656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102785720
—
MI
Enumeration date
12/13/2005
Last updated
05/24/2024
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