Organization
DAVID L. MANZO, M.D., P.C.
Active
Other names
Manzo Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L MANZO M.D. (PRESIDENT)
(248) 541-4200
Entity
Organization
Contact information
Practice address
621 W 11 MILE RD, ROYAL OAK, MI 48067-2201
(248) 541-4200
(248) 541-4969
Mailing address
621 W 11 MILE RD, ROYAL OAK, MI 48067-2201
(248) 541-4200
(248) 541-4969
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4113369
AETNA
MI
05
—
4229975 TYPE 10
—
MI
Enumeration date
12/07/2007
Last updated
12/14/2011
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