Individual
GREGORIO MANUEL MANABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1504 W REYNOLDS ST, STE C, PONTIAC, IL 61764-9779
(815) 842-2893
(815) 844-5960
Mailing address
1504 W REYNOLDS ST, STE C, PONTIAC, IL 61764-9779
(815) 842-2893
(815) 844-5960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
06/09/2005
Last updated
04/10/2008
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