Individual
DAVID LUIGI MANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207W00000X
Ophthalmology Physician
Primary
DM048656
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4113369
AETNA
MI
05
—
4229975 TYPE 10
—
MI
Enumeration date
06/09/2005
Last updated
10/27/2021
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