John A Mannik O.D.

NPI 1003814500 - Optometrist - 152W00000X

NPI Details
NPI 1003814500
Gender Male
Enumeration Date 07/08/2005
Last Updated 02/19/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
1088 S BAILEY AVE
SUITE B
SOUTH HAVEN MI, 49090-9728, US
Phone (269) 637-1442
Fax (269) 637-3801
Business Location
1088 S BAILEY AVE
SUITE B
SOUTH HAVEN MI, 49090-9728, US
Phone (269) 637-1442
Fax (269) 637-3801
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number 4901003263
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According to our database, Dr. John A Mannik O.D. NPI is 1003814500, taxonomy code is 152W00000X and license number is 4901003263, license state is located at Michigan. John A Mannik O.D. physically located at 1088 S Bailey Ave, South Haven MI, 49090-9728. NPI Number John A Mannik O.D. has the Individual type.

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1003814500 NPI number is provided on an as is basis without warranty of any kind. 1003814500 is maintained by the National Plan & Provider Enumeration System. The contents of John A Mannik O.D. are for informational purposes only.