Individual
TIM MITCHELL MANKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1480 N M 52 STE 1, OWOSSO, MI 48867-1025
(989) 723-8239
Mailing address
1480 N M 52 STE 1, OWOSSO, MI 48867-1025
(989) 723-8239
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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