| Manzano-nunn, Pllc | |
|
2154 Commons Pkwy Okemos MI 48864-3986 | |
| (517) 706-0444 | |
| Not Available |
| Full Name | Manzano-nunn, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 2154 Commons Pkwy, Okemos, Michigan |
| Authorized Official Name and Position | Vicki Manzano (PHYSICIAN) |
| Authorized Official Contact | 5177060444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Manzano-nunn, Pllc 2154 Commons Pkwy Okemos MI 48864-3986 Ph: (517) 706-0444 | Manzano-nunn, Pllc 2154 Commons Pkwy Okemos MI 48864-3986 Ph: (517) 706-0444 |
| NPI Number | 1891969465 |
|---|---|
| Provider Enumeration Date | 04/15/2008 |
| Last Update Date | 04/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891969465 | NPI | - | NPPES |
| 3424975 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5101008025 (Michigan) | Primary |
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