Individual
DAVID PAUL MANDZIARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9686
(616) 252-7200
Mailing address
45211 HELM ST, PLYMOUTH, MI 48170-6023
(800) 741-5985
Taxonomy
Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/21/2020
Last updated
05/02/2025
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