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Individual

SWAPNIL RAJAN RATH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 68TH ST SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5460
Mailing address
300 68TH ST SE, PINE REST CHRISTIAN MENTAL HEALTH SERVICES, GRAND RAPIDS, MI 49548-6927
(616) 455-5000
(616) 455-5460

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301104845
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301104845
MI
390200000X
Student in an Organized Health Care Education/Training Program
94-07653
KS

Other

Enumeration date
06/06/2011
Last updated
07/08/2016
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