Individual
DR. STPHEN MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7350 W MICHIGAN AVE, PIGEON, MI 48755-5149
(989) 453-2256
(989) 453-3270
Mailing address
7350 W MICHIGAN AVE, PIGEON, MI 48755-5149
(989) 453-2256
(989) 453-3270
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
013779
MI
Other
Enumeration date
05/03/2006
Last updated
10/16/2009
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