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DAVID L MANZO MD PC NPI 1972779072


NPI Information

NPI: 1972779072
Provider Name: DAVID L MANZO MD PC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
621 W 11 MILE RD
ROYAL OAK, MI
ZIP 48067
Phone: (248) 541-4200
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DAVID L MANZO MD PC is a clinic center in Royal Oak, MI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DAVID L MANZO MD PC NPI is 1972779072. The provider is registered as an organization entity type.

The provider's business location address is:

621 W 11 MILE RD
ROYAL OAK, MI
ZIP 48067-201
Phone: (248) 541-4200
Fax: (248) 541-4969

The provider's authorized official is David L Manzo .
The authorized official title is Owner and has the following contact phone number (248) 541-4200.

The enumeration date for this NPI number is 5/8/2008 and was last updated on 2/10/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14113369OTHERMICHIGANAETNA
24229975 TYPE 10MEDICAIDMICHIGAN
31806373281OTHERMICHIGANBLUE CROSS/BLUE SHIELD OF MI
4F01746MEDICARE UPINMICHIGAN
51972779072MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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