Individual
DR. MICHAEL DRACH MANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2475 COTTAGE AVE, COLUMBUS, IN 47201-4476
(812) 372-7782
Mailing address
3800 LAKESIDE DR, COLUMBUS, IN 47203-3610
(812) 376-8754
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001786
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100051800A
—
IN
Enumeration date
12/14/2006
Last updated
09/22/2011
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