Individual
NICHOLAS M MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1700 CLINTON ST, MUSKEGON, MI 49442-5502
(231) 727-5250
(231) 727-5248
Mailing address
1675 LEAHY ST, SUITE 315A, MUSKEGON, MI 49442-5500
(231) 727-5250
(231) 727-5248
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101021383
MI
390200000X
Student in an Organized Health Care Education/Training Program
5101021383
MI
Other
Enumeration date
07/01/2014
Last updated
09/11/2018
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