David L Manzo Md Pc

LBN: David L Manzo Md Pc
David L Manzo Md Pc is an health care organization with primary practice located at 621 W 11 Mile Rd , Royal Oak MI 48067-2201. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. David L Manzo Md Pc can be contacted via phone (248) 541-4200, or through Manzo, David L via phone (248) 541-4200.

Contact Information

Primary practice address
621 W 11 Mile Rd Royal Oak MI 48067-2201
Phone: (248) 541-4200
Fax: (248) 541-4969
Website:
Map and Directions
Authorized official contact:
Name: Manzo, David L Doctor of Medicine (MD)
Phone: (248) 541-4200

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1972779072
LBN Legal business name David L Manzo Md Pc
DBA Doing business as
Authorized official Manzo, David L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2008
Last updated Feb 10th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972779072 NPPES
Michigan Other 4113369 AETNA
Michigan MEDICAID 4229975 TYPE 10 AETNA
Michigan Other 1806373281 AETNA

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