Individual
MR. CONRADO GANZON NAVELGAS JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1607 MARQUETTE AVE, BAY CITY, MI 48706
(989) 684-0133
Mailing address
2950 ROSE WAY DRIVE, BAY CITY, MI 48706
(989) 671-9060
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005535
MI
Other
Enumeration date
03/09/2006
Last updated
07/08/2007
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