Organization
DAVID W. MANSKY,D.P.M.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W. MANSKY D.P.M. (OWNER)
(248) 674-3124
Entity
Organization
Contact information
Practice address
5770 HIGHLAND RD, SUITE 3, WATERFORD, MI 48327-1826
(248) 674-3124
Mailing address
5770 HIGHLAND RD, SUITE 3, WATERFORD, MI 48327-1826
(248) 674-3124
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001735
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3108483
MOLINA
MI
05
—
3108483
—
MI
01
—
4856351410
BCBS
MI
Enumeration date
06/11/2006
Last updated
05/23/2008
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