Manzo, David Luigi

Manzo, David Luigi is an individual health care provider with primary practice located at 621 W 11 Mile Rd , Royal Oak MI 48067-2201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Manzo, David Luigi can be contacted 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

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DM048656 Michigan

Profile Details

NPI number 1386648103
LBN Legal business name Manzo, David Luigi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Oct 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386648103 NPPES
Michigan Other 4113369 AETNA
Michigan MEDICAID 4229975 TYPE 10 AETNA

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