Individual
CARLA S MANDUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N INGALLS ST, ANN ARBOR, MI 48109-2003
(517) 303-6436
Mailing address
22151 EDISON ST, DEARBORN, MI 48124-2787
(517) 303-6436
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704263674
MI
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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