| Dr Nancy M Mannisto, MD | |
|
26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 | |
| (248) 398-8400 | |
| (248) 398-8487 |
| Full Name | Dr Nancy M Mannisto |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 26657 Woodward Ave, Huntington Woods, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861478612 | NPI | - | NPPES |
| 3254614 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301061963 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Nancy M Mannisto, MD 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 Ph: (248) 398-8400 | Dr Nancy M Mannisto, MD 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 Ph: (248) 398-8400 |
Robert Mcgowan, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 26657 Woodward Ave Ste 200, Huntington Woods, MI 48070 Phone: 248-398-8400 | |
Dr. Lalit J Shah, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26657 Woodward Ave, Ste 200, Huntington Woods, MI 48070 Phone: 248-398-8400 Fax: 248-398-8487 | |
Dr. Jenny L Folcik-gerken, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 26657 Woodward Ave, Suite 200, Huntington Woods, MI 48070 Phone: 248-398-8400 Fax: 248-398-8487 |