Individual
DR. MICHAEL STEVEN MANCINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1610 WASHINGTON BLVD, KANSAS CITY, KS 66102-2842
(913) 888-8866
(913) 888-8829
Mailing address
1610 WASHINGTON BLVD, KANSAS CITY, KS 66102-2842
(913) 888-8866
(913) 888-8829
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
04-21587
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100118280B
—
KS
05
—
203275201
—
MO
Enumeration date
07/28/2006
Last updated
11/07/2014
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