Individual
MANASSEH IFEANYI MICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(614) 271-0735
Mailing address
4201 S WASHINGTON ST, MARION, IN 46953-4974
(614) 271-0735
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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