SearchMichigan163WH0200X

Debra Mandenberg

NPI 1962604074 · on the registry since 2007

Practice

Address
3089 E Long Lake Rd
Traverse City, MI 49684
Phone
(231) 929-3646

Registry record

Primary taxonomy
163WH0200X
163WH0200X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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