Organization
MARY PATRICIA MCMANMON MD PC
Active
Other names
Advanced Wellness Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY P MCMANMON MD (CEO)
(269) 683-1700
Entity
Organization
Contact information
Practice address
2714 S 11TH ST, SUITE A, NILES, MI 49120-4761
(269) 683-1700
(269) 683-7038
Mailing address
2714 S 11TH ST, SUITE A, NILES, MI 49120-4761
(269) 683-1700
(269) 683-7038
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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