Search › Michigan › 363LF0000X
Brian Mangenje, FNP-BC
NPI 1134873524 · on the registry since 2022 · sole proprietor
Practice
- Address
- 2888 W Grand Blvd
Detroit, MI 48202 - Phone
- (313) 875-4200
- Fax
- (313) 875-5611
- Organisation at this address
- V2 Eye Care, Pc
The Wellness Plan
Dmc Clinical Lab Inc
Gateway Obgyn Associates Pllc
The Wellness Plan Medical CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Additional practice sites
- 46156 Woodward Ave, Pontiac, MI
- 625 Kenmoor Ave Se # 150434, Grand Rapids, MI
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan