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Individual

BOYD W MANGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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
Update your record

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