Individual
MICHAEL J MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3056 ROCKWOOD DR, HUDSONVILLE, MI 49426-7621
(616) 210-8096
Mailing address
3056 ROCKWOOD DR, HUDSONVILLE, MI 49426-7621
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703114856
MI
Other
Enumeration date
05/12/2025
Last updated
05/12/2025
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