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Organization
RAY PETER MANGULABNAN MD PC
Active
Organization
RAY PETER MANGULABNAN MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAY PETER MANGULABNAN M.D. (PRESIDENT)
(989) 790-1275
Entity
Organization
Contact information
Practice address
3170 HALLMARK CT, SAGINAW, MI 48603-2183
(989) 790-1275
(989) 249-4199
Mailing address
3170 HALLMARK CT, SAGINAW, MI 48603-2183
(989) 790-1275
(989) 249-4199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301072416
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4411167
—
MI
Enumeration date
06/13/2007
Last updated
01/20/2012
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