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Individual

DR. MICHAEL J MANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M. D.

Contact information

Practice address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321
Mailing address
2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5314
(850) 877-2105
(850) 216-1321

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME 62304
FL

Other

Enumeration date
05/11/2006
Last updated
07/10/2007
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