Individual
JEFFREY STEPHEN MANTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2845 44TH ST SW SUITE 200, GRANDVILLE, MI 49418-1200
(616) 538-2410
(616) 538-1557
Mailing address
2845 44TH ST SW SUITE 200, GRANDVILLE, MI 49418-1200
(616) 538-2410
(616) 538-1557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301061595
MI
Other
Enumeration date
02/14/2006
Last updated
07/07/2015
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