Individual
JOSE MASAQUEL MANALIGOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
30862
IA
207Y00000X
Otolaryngology Physician
4301513883
MI
207YP0228X
Pediatric Otolaryngology Physician
30862
IA
207YP0228X
Pediatric Otolaryngology Physician
Primary
4301513883
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130526
—
IA
01
—
52291
WELLMARK BCBS
IA
Enumeration date
09/30/2005
Last updated
08/06/2025
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