Search › Michigan › 363A00000X
Justine Mangla, PA-C
NPI 1285129213 · on the registry since 2018
Practice
- Address
- 5301 Mcauley Dr
Ypsilanti, MI 48197 - Phone
- (734) 712-3456
- Organisation at this address
- Brainspan
Brainspan Pllc
Scott Liles Md Pc
Tawhida Khatoon Mdpc
St Joseph Mercy HospitalInferred from a shared address, not stated in the registry. - Clinicians at this address
- 275
Additional practice sites
- 5505 S Old Us 23 # 100, Brighton, MI
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-01
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