Individual
MR. BAYANI LOY MANZANO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1721 S STEPHENSON AVE, IRON MOUNTAIN, MI 49801
(906) 776-5565
Mailing address
PO BOX 668, IRON MOUNTAIN, MI 49801
(906) 779-9870
(906) 779-5888
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
BM037016
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3516244
—
MI
Enumeration date
02/14/2006
Last updated
07/08/2007
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