| NPI | 1063149730 |
|---|---|
| Other Name | DR. JAN A MANNING |
| Entity Type | Organization |
| Authorized Contact | CONSTANCE RAE KUHLMAN Manager 231-946-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-08-03 |
| Last Update Date | 2022-08-16 |