Individual
ANISH GANJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-0078
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-0078
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501012695
MI
Other
Enumeration date
03/06/2018
Last updated
03/22/2021
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