Individual
LEANNE M MANCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2500 NILES ROAD, SUITE 1, ST JOSEPH, MI 49085
(269) 429-5000
(269) 429-2598
Mailing address
2500 NILES ROAD, SUITE 1, ST JOSEPH, MI 49085
(269) 429-5000
(269) 429-2598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101017116
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315029748
CONTROLLED SUB
MI
Enumeration date
04/06/2007
Last updated
03/07/2023
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