William T Mangan Jr, Do Pllc

NPI 1093995078 - Family Medicine - 207Q00000X

NPI Details
NPI 1093995078
Enumeration Date 11/07/2007
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name WILLIAM THOMAS WILLIAM
Position OWNER
Phone (517) 655-3979
Fax
Practice Location
319 W GRAND RIVER AVE
WILLIAMSTON MI, 48895-1300, US
Phone (517) 655-3979
Fax
Business Location
319 W GRAND RIVER AVE
P O BOX 410
WILLIAMSTON MI, 48895-1300, US
Phone (517) 655-3979
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101011930
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According to our database, William T Mangan Jr, Do Pllc NPI is 1093995078, taxonomy code is 207Q00000X and license number is 5101011930, license state is located at Michigan. William T Mangan Jr, Do Pllc physically located at 319 W Grand River Ave, Williamston MI, 48895-1300. NPI Number 1033115704 has the healthcare provider type.

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1093995078 NPI number is provided on an as is basis without warranty of any kind. 1093995078 is maintained by the National Plan & Provider Enumeration System. The contents of William T Mangan Jr, Do Pllc are for informational purposes only.