Individual
BOYD W MANGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3434 M 119, SUITE C, HARBOR SPRINGS, MI 49740-9373
(231) 348-9900
(989) 358-3780
Mailing address
1035 W WASHINGTON AVE STE C, ALPENA, MI 49707-2929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301060845
MI
208000000X
Pediatrics Physician
Primary
4301060845
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080A760010
BCBS
MI
05
—
772912940
—
MI
Enumeration date
07/01/2006
Last updated
04/11/2022
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