Samuel D Manalo, MD | |
11800 E 12 Mile Rd, Warren, MI 48093-3472 | |
(586) 573-5260 | |
Not Available |
Full Name | Samuel D Manalo |
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Gender | Male |
Speciality | Anesthesiology |
Location | 11800 E 12 Mile Rd, Warren, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134176605 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207L00000X | Anesthesiology | 4301060591 (Michigan) | Primary |
Entity Name | American Anesthesiology Of Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487609475 PECOS PAC ID: 5294648804 Enrollment ID: O20031110000617 |
Mailing Address | Practice Location Address |
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Samuel D Manalo, MD 7 W Square Lake Rd, Bloomfield Hills, MI 48302-0462 Ph: () - | Samuel D Manalo, MD 11800 E 12 Mile Rd, Warren, MI 48093-3472 Ph: (586) 573-5260 |
Kathy Schlecht, DO Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28120 Dequindre Rd, Warren, MI 48092 Phone: 586-573-0709 | |
Horacio G Lardo, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Charles F Mckolay, D.O. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093 Phone: 586-573-5260 | |
Philip J Zink, M.D. Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 | |
Dr. Kondraganti P Rao, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 28111 Hoover, Warren, MI 48093 Phone: 586-573-0589 Fax: 586-573-3861 | |
Mark A Kalt, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 11800 E 12 Mile Rd, Warren, MI 48093 Phone: 586-573-5260 |