Individual
STEPHANIE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2301 BELAIRE DR, LANSING, MI 48911-1612
(517) 908-0966
Mailing address
2301 BELAIRE DR, LANSING, MI 48911-1612
(517) 908-0966
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
RESIDENT LICENSE
MI
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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