Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 4301101606 | MI |
N | 208600000X | Surgeon | 4301101606 | MI |
Y | 208800000X | Urologist | 4301101606 | MI |
NPI | 1003161472 |
---|---|
Provider Name | Dr. Navneet Singh Mander |
First Address | Grand Rapids, MI 49546-3691 |
Second Address | Grand Rapids, MI 49546-3691 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2012 |
Last Update Date | 08/02/2017 |