Individual
MARC M MCMANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
154 RESOLUTE LN, PORT LUDLOW, WA 98365-9617
(253) 388-9748
Mailing address
154 RESOLUTE LN, PORT LUDLOW, WA 98365-9617
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60271784
WA
Other
Enumeration date
01/23/2007
Last updated
02/04/2025
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