Individual
TINTIN LLENA MANUELA ABAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 HURLEY PLZ, SON 5TH FLOOR, FLINT, MI 48503-5902
(810) 262-9773
(810) 262-7143
Mailing address
6297 BOULDER DR, FLUSHING, MI 48433-3538
(810) 877-1420
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301096036
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301096036
STATE LICENSE
MI
Enumeration date
07/08/2010
Last updated
11/29/2021
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