Individual
JUSTIN MICHAEL MANDOSKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
248 FERRY LN, SAINT IGNACE, MI 49781-1828
(108) 392-2167
Mailing address
812 BROWN ST, SAULT SAINTE MARIE, MI 49783-2212
(906) 259-2376
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/14/2021
Last updated
06/20/2023
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