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Individual

DR. SURENDER RAJASEKARAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
100 MICHIGAN ST NE, MC 117, GRAND RAPIDS, MI 49503-2560
(616) 267-0118
(616) 267-0090
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301094493
MI
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
4301094493
MI
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
4301094493
MI

Other

Enumeration date
05/26/2005
Last updated
04/20/2022
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