MEDICARE: DR. ANITA M ASADORIAN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101016321	MI

General Provider Information

NPI Number	:	1811925522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA M ASADORIAN D.O.

Provider Business Mailing Address
First Line	:	100 MICHIGAN ST NE # MC845
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49503-2560
Country	:	US
Telephone Number	:	616-486-6790
Fax Number	:

Provider Business Practice Location Address
First Line	:	9090 S RODGERS CT SE
Second Line	:
City	:	CALEDONIA
State	:	MI
Zip	:	49316-8052
Country	:	US
Telephone Number	:	616-891-0422
Fax Number	:	616-891-0416

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	08/24/2016

Similar Medicare Providers

1700866308 — DR. RICHARD CLYDE ROBERTSON DDS
Practice Location Address:

9090 S RODGERS CT SE
CALEDONIA, MI
49316-8052

Practice Phone: 616-891-8141
Practice Fax: 616-891-8142

1336129568 — DR. DENNIS SETH VANWORMER D.O.
Practice Location Address:

9090 S RODGERS CT SE STE A
CALEDONIA, MI
49316-8052

Practice Phone: 616-891-0422
Practice Fax:

1285600627 — DR. JAMES ANTHONY CHAPP D.C.
Practice Location Address:

9090 S RODGERS CT SE STE B
CALEDONIA, MI
49316-8052

Practice Phone: 616-698-6981
Practice Fax:

1841226297 — GREY R LARISON PH.D.
Practice Location Address:

9090 S RODGERS CT SE
CALEDONIA, MI
49316-8052

Practice Phone: 616-891-8770
Practice Fax:

1619987740 — PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Practice Location Address:

9090 S RODGERS CT SE
CALEDONIA, MI
49316-8052

Practice Phone: 616-891-8770
Practice Fax:

1154429942 — ANDREA LYNNE REIFFER LMSW
Practice Location Address:

9090 S RODGERS CT SE
CALEDONIA, MI
49316-8052

Practice Phone: 616-891-8770
Practice Fax:

Directions to “ DR. ANITA M ASADORIAN D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.