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1265674873
MICHAEL DAVID MANCHAK
FARGO, ND
NPI
1265674873
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: ND 13363)
Enumeration Date
2009-03-27
Last Update Date
2020-02-18
Business Address
Dr. MICHAEL DAVID MANCHAK M.D.
700 1ST AVE S
FARGO, ND 58103-1802
Phone number: 701-234-4036
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Mailing Address
Dr. MICHAEL DAVID MANCHAK M.D.
PO BOX 2168
FARGO, ND 58107-2168
Phone number: 701-234-2119
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