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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JIMMY P MANANSALA JR., RPT

Active Sole Proprietor

MR. JIMMY P MANANSALA JR., RPT is a Specialist healthcare provider located in LIVONIA, Michigan. NPI 1851751192 is currently active in the NPPES registry. Verify at CMS.

Specialist · LIVONIA, MI

Registration Details

NPI Number
1851751192
Provider Type
Individual
Gender
Male
NPI Issued
Feb 29, 2016 (10.444858893452 yrs)
Last Updated
Aug 26, 2022
License
5501009386 (MI)
Sole Proprietor
Yes

Practice Information

Address
33620 FIVE MILE RD STE A
LIVONIA, MI, 481542866
Browse MI providers · Browse ZIP 48154
Phone
2489578930
Fax
3135411171
Primary Specialty
Specialist
174400000X

Other Specialist Providers in LIVONIA, MI

Name Credential NPI
DR. NASSER TAGHAVI M.D. 1487624383
DR. RAMESH K MOHINDRA MD 1407827280
DR. HADI ALFRED PIRAKA MD 1497863690
MRS. JO A MEEHL MT 1710029194
DEBORAH SUZANNE AIDEM BS, MS, OTRL 1023313780
DENISE STRAUSS 1457788101
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.