Individual
DR. MICHELLE MARIE MCMANUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
2334 31ST AVE, SUITE #1, ROCK ISLAND, IL 61201-6248
(309) 558-0075
Mailing address
2804 24TH ST, UNIT #1, ROCK ISLAND, IL 61201-5360
(309) 558-0075
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019028161
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021002381
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
08813
IA
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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