Manalac, Michelle Mascarinas
Manalac, Michelle Mascarinas is an individual health care provider with primary practice located at 4069 Lake Dr Se Ste 315 , Grand Rapids MI 49546-8816. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Manalac, Michelle Mascarinas can be contacted via phone (616) 267-7700.Contact Information
Primary practice address
4069 Lake Dr Se Ste 315
Grand Rapids MI 49546-8816
Phone: (616) 267-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 4301077123 | Michigan |
Profile Details
| NPI number | 1053413856 |
|---|---|
| LBN Legal business name | Manalac, Michelle Mascarinas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Jan 16th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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