Individual
DR. KIP MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1905 E BIG BEAVER RD, TROY, MI 48083-2006
(248) 720-0444
Mailing address
29377 MAURICE CT, CHESTERFIELD, MI 48047-3750
Taxonomy
Speciality
Code
Description
License number
State
111NP0017X
Pediatric Chiropractor
Primary
2301010154
MI
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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