Individual
MARY THERESE MANKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3337 BRITTON RD, PERRY, MI 48872-9706
(517) 625-3004
(517) 625-5001
Mailing address
3337 BRITTON RD, PERRY, MI 48872-9706
(517) 625-3004
(517) 625-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003665
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578589453
—
MI
Enumeration date
07/14/2006
Last updated
09/15/2023
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