Individual
DR. MANOLO MAGNO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3577 W 13 MILE RD, SUITE 103, ROYAL OAK, MI 48073-6710
(248) 288-4500
(248) 288-0450
Mailing address
3577 W 13 MILE RD, SUITE 103, ROYAL OAK, MI 48073-6710
(248) 288-4500
(248) 288-0450
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MM047933
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2840840
—
MI
Enumeration date
07/26/2005
Last updated
07/08/2007
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