| Manna Inc. | |
|
1048 Union St Ste 5 Bangor ME 04401-8601 | |
| (207) 945-5247 | |
| (207) 992-2154 |
| Full Name | Manna Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 1048 Union St Ste 5, Bangor, Maine |
| Authorized Official Name and Position | Thomas Kohl (CFO) |
| Authorized Official Contact | 2079455247 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manna Inc. 629 Main St Bangor ME 04401-6848 Ph: (207) 990-2870 | Manna Inc. 1048 Union St Ste 5 Bangor ME 04401-8601 Ph: (207) 945-5247 |
| NPI Number | 1912090846 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912090846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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