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Dr. Marina Ivanovna Ananich, MD
Neuroradiology Physician in Grand Rapids, Michigan
NPI 1588691950

Marina Ivanovna Ananich is a Neuroradiology Physician based in Grand Rapids, MI and is specialized in Neuroradiology. Marina Ivanovna Ananich practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Marina Ivanovna Ananich is 1588691950 and holds a License No. 4301077099 (Michigan).

The current practice location address for Marina Ivanovna Ananich is 3264 N Evergreen Drive Ne, Grand Rapids, MI and can be reached out via phone at 616-363-7272 and via fax at 616-361-5828.

Location: 3264 N Evergreen Drive Ne, Grand Rapids, MI, 49525
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588691950
Provider Name
Marina Ivanovna Ananich
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3264 N Evergreen Drive Ne, Grand Rapids, MI, 49525
Phone Number
616-363-7272
Fax Number
616-361-5828
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G36004067 01 MI MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3264 N Evergreen Drive Ne
City
Grand Rapids
State
Michigan
Zip
49525
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider Business Mailing Address Details
Address
3264 N Evergreen Drive Ne
City
Grand Rapids
State
Michigan
Zip
49525
Phone Number
616-363-7272
Fax Number
616-361-5828
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
4301077099 (Michigan)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
4301077099 (Michigan)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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