Individual provider · Type 1 NPI

Farouq Manji, MB BCH BAO

Student in an Organized Health Care Education/Training Program · Grand Rapids, MI

NPI number 1629523246 Active

Practice location

25 Michigan St NE Ste 2200
Grand Rapids, MI 49503-2526

Call (616) 516-4392 Map

Fax (616) 391-3130

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X4301110973 (MI)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629523246

Farouq Manji, MB BCH BAO's National Provider Identifier is 1629523246, issued on Aug 24, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 24, 2016.