Individual
MANUEL M PEREA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 COOPER AVE, 900 BLDG, SAGINAW, MI 48602-5383
(989) 583-4401
(989) 583-4409
Mailing address
3023 DAVENPORT AVE, P O BOX 3272, SAGINAW, MI 48602-3652
(989) 793-9830
(989) 797-4077
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0207310972
BLUE CROSS BLUE SHIELD #
MI
01
—
02685272
HP
MI
05
—
104634636
—
MI
01
—
P00265524
RAILROAD MR #
MI
Enumeration date
10/27/2006
Last updated
07/08/2007
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