Individual
DR. LEE MICHAEL MANISCALCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
Mailing address
101 HEATHERBROOKE PARK DR, BIRMINGHAM, AL 35242-8008
(205) 991-9787
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
6404
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
6404
AL
208D00000X
General Practice Physician
MD.31846
AL
Other
Enumeration date
03/21/2011
Last updated
04/20/2026
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