Radawski, Melissa Manzano

Radawski, Melissa Manzano is an individual health care provider with primary practice located at 601 John St Suite M124, Kalamazoo MI 49007-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Radawski, Melissa Manzano can be contacted via phone (269) 341-7500.

Contact Information

Primary practice address
601 John St Suite M124 Kalamazoo MI 49007-5341
Fax: (269) 341-7540
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 35098127 Ohio

Profile Details

NPI number 1558560862
LBN Legal business name Radawski, Melissa Manzano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Nov 27th, 2023 - about last year

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 1558560862 NPPES
Michigan Other 1417961137 BCBSM - BRONSON
Michigan MEDICAID 1558560862 BCBSM - BRONSON

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