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1093177230
MICHAEL GREGORY MANK
MAYWOOD, IL
NPI
1093177230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125068105)
Enumeration Date
2016-03-27
Last Update Date
2016-06-08
Business Address
-- MICHAEL GREGORY MANK D.O.
2160 S 1ST AVE
MAYWOOD, IL 60153-3328
Phone number: 708-216-5446
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Mailing Address
-- MICHAEL GREGORY MANK D.O.
143 CORNWALL AVE
TONAWANDA, NY 14150-8513
Phone number: 716-418-2562
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