Individual
MELISSA MANZANO RADAWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 JOHN ST, SUITE M124, KALAMAZOO, MI 49007-5341
(269) 341-7500
(269) 341-7540
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-8419
(269) 341-8743
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
35098127
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417961137
BCBSM - BRONSON
MI
05
—
1558560862
—
MI
Enumeration date
07/16/2007
Last updated
11/27/2023
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