MICHAEL D VANMANEN

TWENTYNINE PALMS, CA
NPI1962666776
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: VT  032.0107331)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  ot012567)
Enumeration Date2008-07-11
Last Update Date2014-11-07
Business Address
Dr. MICHAEL D VANMANEN DO
BLDG 1145 STURGIS RD
TWENTYNINE PALMS, CA 92278
Phone number: 760-830-2229
Mailing Address
Dr. MICHAEL D VANMANEN DO
56159 NEZ PERCE TRL
YUCCA VALLEY, CA 92284
Phone number: 720-217-7950