Dr Michael Mangan, DO | |
1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223 | |
(517) 622-6446 | |
Not Available |
Full Name | Dr Michael Mangan |
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Gender | Male |
Speciality | Family Medicine |
Location | 1035 Charlevoix Dr Ste 100, Grand Ledge, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144457805 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101018143 (Michigan) | Secondary |
207Q00000X | Family Medicine | 5101018143 (Michigan) | Primary |
Entity Name | Michigan State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770646028 PECOS PAC ID: 3870405954 Enrollment ID: O20031218000451 |
Entity Name | Capital Internal Medicine Associates P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780629832 PECOS PAC ID: 8022097963 Enrollment ID: O20040715000369 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Mangan, DO 1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223 Ph: (517) 627-2181 | Dr Michael Mangan, DO 1035 Charlevoix Dr Ste 100, Grand Ledge, MI 48837-2223 Ph: (517) 622-6446 |
Dr. Joseph Paul Van Ark, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Dr. Kenneth Wynne Evans, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Charlevoix Dr, Grand Ledge, MI 48837 Phone: 517-627-0100 Fax: 517-627-0150 | |
David J Smith, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 | |
Dr. Barbara D Saxena, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1005 Charlevoix Dr, Suite 180, Grand Ledge, MI 48837 Phone: 517-622-1814 Fax: 517-622-0694 | |
Dr. Quan D Nguyen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 11615 Hartel Rd, Ste 108, Grand Ledge, MI 48837 Phone: 517-627-3281 Fax: 517-627-8722 | |
Eric G Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 | |
Timothy J Izzo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1035 Charlevoix Dr, Suite 100, Grand Ledge, MI 48837 Phone: 517-627-2181 Fax: 517-622-1242 |