Individual
STEPHEN MICHAEL MANIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
750 LAKESHORE DRIVE, ESCANABA, MI 49829
(734) 677-7400
(734) 677-7407
Mailing address
PO BOX 1108, ANN ARBOR, MI 48106-1108
(734) 677-7400
(734) 677-7407
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301060550
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11282702
CAQH
MI
01
—
300056962
MEDICARE RR
MI
01
—
3002100011
BCBS/BCN
MI
05
—
3146555
—
MI
Enumeration date
05/03/2006
Last updated
07/09/2008
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