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Mr. William Thomas Mangan JR., DO
General Practice Physician in Okemos, Michigan
NPI 1851392195

William Thomas Mangan JR. is a General Practice Physician based in Lansing, MI. William Thomas Mangan JR. practices in Okemos, MI and has the professional credentials of DO. The NPI Number for William Thomas Mangan JR. is 1851392195 and holds a License No. 5101011930 (Michigan).

The current practice location address for William Thomas Mangan JR. is 3413 Woods Edge Drive, Okemos, MI and can be reached out via phone at 517-349-3303 and via fax at 517-349-4374.

Location: 3413 Woods Edge Drive, Okemos, MI, 48912-5669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851392195
Provider Name
William Thomas Mangan JR.
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
3413 Woods Edge Drive, Okemos, MI, 48912-5669
Phone Number
517-349-3303
Fax Number
517-349-4374
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0C36097 01 MI PTAN
5101011930 01 MI LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
3413 Woods Edge Drive
City
Okemos
State
Michigan
Zip
48864-5901
Phone Number
517-349-3303
Fax Number
517-349-4374
person
Provider Business Mailing Address Details
Address
3413 Woods Edge Drive
City
Okemos
State
Michigan
Zip
48864-5901
Phone Number
517-349-3303
Fax Number
517-349-4374
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
5101011930 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
5101011930 (Michigan)
Definition
Definition to come...
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