| David L Manzo MD PC | |
|
621 W 11 Mile Rd Royal Oak MI 48067-2201 | |
| (248) 541-4200 | |
| (248) 541-4969 |
| Full Name | David L Manzo MD PC |
|---|---|
| Speciality | Clinic/center |
| Location | 621 W 11 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | David L Manzo (OWNER) |
| Authorized Official Contact | 2485414200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David L Manzo MD PC 621 W 11 Mile Rd Royal Oak MI 48067-2201 Ph: (248) 541-4200 | David L Manzo MD PC 621 W 11 Mile Rd Royal Oak MI 48067-2201 Ph: (248) 541-4200 |
| NPI Number | 1972779072 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 02/10/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972779072 | NPI | - | NPPES |
| 4113369 | Other | MI | AETNA |
| 4229975 TYPE 10 | Medicaid | MI | |
| 1806373281 | Other | MI | BLUE CROSS/BLUE SHIELD OF MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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