Individual
MANTHAN KIMMANE-RATHNAKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
(269) 985-1000
(269) 983-3181
Mailing address
3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 49085-9151
(269) 985-1000
(269) 983-3181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704316983
MI
Other
Enumeration date
08/02/2022
Last updated
08/02/2022
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