Individual
MR. MICHAEL KENT MANION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4457 WALNUT ST, DAYTON, OH 45440-1379
(937) 306-1640
(937) 306-1573
Mailing address
4457 WALNUT ST, DAYTON, OH 45440-1379
(937) 306-1640
(937) 306-1573
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1747
KS
152W00000X
Optometrist
Primary
5689
OH
Other
Enumeration date
09/20/2006
Last updated
11/13/2007
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