Organization
MANUEL DUMLAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL S DUMLAO MD (PRESIDENT)
(313) 562-6633
Entity
Organization
Contact information
Practice address
2314 MONROE ST, DEARBORN, MI 48124-3045
(313) 562-6633
(313) 562-0880
Mailing address
2314 MONROE ST, DEARBORN, MI 48124-3045
(313) 562-6633
(313) 562-0880
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
4301047459
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2608218572
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/23/2006
Last updated
01/26/2010
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