Individual
GARRY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 E MICHIGAN AVE, SUITE 245A, LANSING, MI 48912-1800
(517) 364-5710
Mailing address
1200 E MICHIGAN AVE, SUITE 245A, LANSING, MI 48912-1800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301110646
MI
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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