Individual
BRANDIE MARIE MANNI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7804 ALLEN RD, ALLEN PARK, MI 48101-1702
(313) 562-1985
Mailing address
13108 WOODRIDGE CIR, PLYMOUTH, MI 48170-3891
(810) 844-6056
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601011498
MI
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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