David L Manzo MD PC
Clinic/Center in Royal Oak, MI. Organization (NPI-2).
NPI number1972779072
StatusActive
Last updated in NPPESFeb 10, 2010
Details
- NPI
- 1972779072
- Entity type
- Organization (NPI-2)
- Legal business name
- David L Manzo MD PC
- Organization subpart
- No
- Enumeration date
- May 8, 2008
- Last updated
- Feb 10, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
621 W 11 Mile RdRoyal Oak, MI 48067-2201
Phone 248-541-4200 · Fax 248-541-4969
Mailing address
621 W 11 Mile RdRoyal Oak, MI 48067-2201
Phone 248-541-4200 · Fax 248-541-4969
Authorized official
David L Manzo
Owner
2485414200
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