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Individual

BETH ROSE MANOOGIAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 936-4000
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301087878
MI
207RG0100X
Gastroenterology Physician
Primary
4301087878
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087878
MI

Other

Enumeration date
03/28/2007
Last updated
12/05/2025
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