Organization
MAN-SIAK MAK, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAN-SIAK MAK M. D. (PRESIDENT)
(209) 722-1565
Entity
Organization
Contact information
Practice address
3313 M ST, MERCED, CA 95348-2714
(209) 722-1565
(209) 722-1567
Mailing address
PO BOX 2793, MERCED, CA 95344-0793
(209) 722-1565
(209) 722-1567
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A26785
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A267850
—
CA
Enumeration date
10/05/2007
Last updated
10/05/2007
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