Individual
PETER MANCINI II
Active
Individual
PETER MANCINI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301061557
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060064248
MEDICARE RR
—
01
—
0Q26305005
BLUECROSSBLUESHIELD OF MI
MI
05
—
4308863
—
MI
01
—
P112550
BLUECARENETWORK
MI
Enumeration date
07/03/2006
Last updated
04/14/2015
Update your record
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