Individual
MANEL BOUMEGOUAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1811
(517) 364-1000
Mailing address
3806 CORNICE FALLS DR APT 7, HOLT, MI 48842-8809
(248) 820-2024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301116264
MI
Other
Enumeration date
08/05/2018
Last updated
08/05/2018
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