Individual
DR. MICHAEL J MANALO
Active
Individual
DR. MICHAEL J MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
04-26424
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100266320A
—
KS
05
—
207973322
—
MO
01
—
50044840
RR MEDICARE
KS
Enumeration date
02/28/2006
Last updated
03/21/2023
Update your record
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