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Lisa A Manz Dulac Md & Associates Pc
Specialist in Grosse Pointe Woods, Michigan
NPI 1326007956

Lisa A Manz Dulac Md & Associates Pc is a Specialist based in Grosse Pointe Woods, MI. Lisa A Manz Dulac Md & Associates Pc practices in Grosse Pointe Woods, MI. The NPI Number for Lisa A Manz Dulac Md & Associates Pc is 1326007956 and holds a License No. (Michigan).

The current practice location address for Lisa A Manz Dulac Md & Associates Pc is 20030 Mack Ave, Grosse Pointe Woods, MI and can be reached out via phone at 313-884-3380 and via fax at 313-884-9756.

Location: 20030 Mack Ave, Grosse Pointe Woods, MI, 48236-2323
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326007956
Provider Name
Lisa A Manz Dulac Md & Associates Pc
Credential
Provider Entity Type
Organization
Address
20030 Mack Ave, Grosse Pointe Woods, MI, 48236-2323
Phone Number
313-884-3380
Fax Number
313-884-9756
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
23D0916007 01 MI CLIA NUMBER
070H24887 01 MI BCBS OF MI GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
20030 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2323
Phone Number
313-884-3380
Fax Number
313-884-9756
person
Provider Business Mailing Address Details
Address
20030 Mack Ave
City
Grosse Pointe Woods
State
Michigan
Zip
48236-2323
Phone Number
313-884-3380
Fax Number
313-884-9756
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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