Organization
ORTHOPEDIC SPORTS MEDICINE OF MANISTEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DANGELO DO (PHYSICIAN)
(917) 545-0789
Entity
Organization
Contact information
Practice address
3234 COUNTY LINE RD W, MANISTEE, MI 49660-9519
(917) 545-0789
Mailing address
3234 COUNTY LINE RD W, MANISTEE, MI 49660-9519
(917) 545-0789
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
03/05/2022
Last updated
03/05/2022
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