Organization
MANTON HEALTH CENTER,P LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE KILLIAN (ADMIN)
(231) 715-6131
Entity
Organization
Contact information
Practice address
115 E 7TH ST, MANTON, MI 49663-9429
(231) 715-6131
Mailing address
829 TRADITIONS DR, TRAVERSE CITY, MI 49696-8965
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2011
Last updated
08/06/2012
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