Ananich, Marina Ivanovna

Ananich, Marina Ivanovna is an individual health care provider with primary practice located at 3264 N Evergreen Drive Ne , Grand Rapids MI 49525. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is her primary health care specialty. Ananich, Marina Ivanovna can be contacted via phone (616) 363-7272.

Contact Information

Primary practice address
3264 N Evergreen Drive Ne Grand Rapids MI 49525
Phone: (616) 363-7272
Fax: (616) 361-5828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301077099 Michigan
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 4301077099 Michigan

Profile Details

NPI number 1588691950
LBN Legal business name Ananich, Marina Ivanovna
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jun 26th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588691950 NPPES
Michigan Other G36004067 MEDICARE PTAN

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