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institution
David L Manzo Md Pc
Clinic/Center in Royal Oak, Michigan
NPI 1972779072

David L Manzo Md Pc is a Clinic/Center based in Royal Oak, MI. David L Manzo Md Pc practices in Royal Oak, MI. The NPI Number for David L Manzo Md Pc is 1972779072 and holds a License No. (Michigan).

The current practice location address for David L Manzo Md Pc is 621 W 11 Mile Rd, Royal Oak, MI and can be reached out via phone at 248-541-4200 and via fax at 248-541-4969.

Location: 621 W 11 Mile Rd, Royal Oak, MI, 48067-2201
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972779072
Provider Name
David L Manzo Md Pc
Credential
Provider Entity Type
Organization
Address
621 W 11 Mile Rd, Royal Oak, MI, 48067-2201
Phone Number
248-541-4200
Fax Number
248-541-4969
Provider Enumeration Date
05/08/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4113369 01 MI AETNA
4229975 TYPE 10 05 MI
1806373281 01 MI BLUE CROSS/BLUE SHIELD OF MI
institution
Provider Business Practice Location Address Details
Address
621 W 11 Mile Rd
City
Royal Oak
State
Michigan
Zip
48067-2201
Phone Number
248-541-4200
Fax Number
248-541-4969
person
Provider Business Mailing Address Details
Address
621 W 11 Mile Rd
City
Royal Oak
State
Michigan
Zip
48067-2201
Phone Number
248-541-4200
Fax Number
248-541-4969
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
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Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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