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Individual

DR. ALEXIS HUNT MANCHIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 788-4811
Mailing address
PO BOX 100, ROYAL OAK, MI 48068-0100
(248) 849-3137

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301088049
MI
207P00000X
Emergency Medicine Physician
54506
MN
390200000X
Student in an Organized Health Care Education/Training Program
4301088049
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
ENROLLED
MN
Enumeration date
03/23/2007
Last updated
09/26/2011
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