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Individual

DR. MANOJ MOHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3955 OKEMOS RD, STE A1, OKEMOS, MI 48864-4208
(517) 349-0027
Mailing address
3955 OKEMOS RD, STE A1, OKEMOS, MI 48864-4208
(517) 349-0027

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MM018049
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
002434
RESIDENT- FELLOW
GA
01
5101018049
STATE OF MICHIGAN LICENSE
MI
Enumeration date
06/28/2007
Last updated
10/02/2013
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